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GOOD SHEPHERD VILLA
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Details
Costs
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 02/28/2008 Fire Safety Survey for GOOD SHEPHERD VILLA
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Isolated | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| properly maintained smoke detectors. | Widespread | Potential for minimal harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| proper backup exit lighting. | Pattern | Minimal harm or potential for actual harm |
- 02/22/2008 Health Survey for GOOD SHEPHERD VILLA
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm |
- 11/17/2006 Health Survey for GOOD SHEPHERD VILLA
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Give or get lab tests to meet the needs of residents. | Widespread | Minimal harm or potential for actual harm |
| Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Have enough backup water supply for important areas of the nursing home. | Widespread | Minimal harm or potential for actual harm |
| Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm |
| Put firmly secured handrails on each side of hallways. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Allow residents to easily see the results of the nursing home's most recent survey. | Widespread | Potential for minimal harm |
- 12/21/2005 Fire Safety Survey for GOOD SHEPHERD VILLA
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| back-up procedures in place for a faulty automatic sprinkler system. | Widespread | Potential for minimal harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Widespread | Potential for minimal harm |
| an approved back-up procedure for a faulty fire alarm system. | Widespread | Potential for minimal harm |
- 12/15/2005 Health Survey for GOOD SHEPHERD VILLA
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Isolated | Minimal harm or potential for actual harm |
| Make sure that doctors visit residents regularly, as required. | Isolated | Minimal harm or potential for actual harm |
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