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Good Samaritan Society-peoria Good Shepherd

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 150
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 09/23/2011

Date of last standard health inspection: 09/23/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in AZ: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in AZ: 0 - 12

Inspection, 02/01/2012

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/01/2012 02/01/2001 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 02/01/2012 02/01/2001 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/01/2012 02/01/2001 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/01/2012 02/01/2001 2 Some
Store, cook, and serve food in a safe and clean way. 02/01/2012 02/01/2001 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/01/2012 02/01/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 02/01/2012 02/01/2001 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/01/2012 02/01/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/01/2012 02/01/2001 2 Few

Inspection, 01/07/2011

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 01/07/2011 02/00/2012 Some neglect and misappropriation of personal property.
1) Hire only people with no legal history of abusing 01/07/2011 02/00/2012 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold 01/07/2011 02/00/2012 and manage each resident's personal money which is secure

Inspection, 02/03/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/03/2009 00/01/2011 2 Some
Have a program that investigates 02/03/2009 00/01/2011 Some controls and keeps infection from spreading.
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/03/2009 00/01/2011 2 Few
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/03/2009 00/01/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents voice a complaint or grievance without being treated differently or badly. 02/03/2009 00/01/2011 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/03/2009 00/01/2011 2 Few
Reasonably accommodate the needs and preferences of each resident. 02/03/2009 00/01/2011 2 Few
Let residents voice a complaint or grievance without being treated differently or badly. 02/03/2009 00/01/2011 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/03/2009 00/01/2011 2 Few
Reasonably accommodate the needs and preferences of each resident. 02/03/2009 00/01/2011 2 Few

Inspection, 01/00/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/00/2008 03/01/2008 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/00/2008 03/01/2008 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/00/2008 03/01/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 01/00/2008 03/01/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/00/2008 03/01/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/00/2008 03/01/2008 2 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in AZ Golden Living Center, Asheville
RN Staff Only1 N/A N/A 4 out of 5 stars
Total Number of Residents 86 79 109
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 15 hours 10 minutes 1 hour 45 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 14 hours 17 minutes 48 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 14 hours 24 minutes 57 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 15 hours 56 minutes 2 hours 17 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/29/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 09/29/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in AZ: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in AZ: 0 - 0

Inspection, 02/07/2012

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/07/2012 02/02/2001 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/07/2012 02/02/2001 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/07/2012 02/02/2001 1 Many

Inspection, 02/09/2009

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/09/2009 02/07/2010 1 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/09/2009 02/07/2010 2 Some
 

10323 West Olive Avenue
Peoria, AZ 85345

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