Inspection visit
Fire Safety inspection
Citations
18 citations recorded*CMS
This is a Fire Safety survey. CMS cites these findings under the Life Safety Code and Emergency Preparedness rules, a separate set from the health (F-tag) deficiencies. The codes and grading differ, so these do not link to the health violation pages.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0009GeneralS&S Dpotential for harm
Include a process for Emergency Preparedness collaboration.
- 0015GeneralS&S Dpotential for harm
Address subsistence needs for staff and patients.
- 0018GeneralS&S Dpotential for harm
Establish procedures for tracking staff and patients during an emergency.
- 0024GeneralS&S Epotential for harm
Establish policies and procedures for volunteers.
- 0026GeneralS&S Epotential for harm
Establish roles under a Waiver declared by secretary.
- 0030GeneralS&S Dpotential for harm
List the names and contact information of those in the facility.
- 0031GeneralS&S Dpotential for harm
Provide emergency officials' contact information.
- 0033GeneralS&S Dpotential for harm
Establish methods for sharing information.
- 0035GeneralS&S Epotential for harm
Provide family notifications of emergency plan.
- 0324GeneralS&S Dpotential for harm
Provide properly protected cooking facilities.
- 0345GeneralS&S Dpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0347GeneralS&S Dpotential for harm
Properly provide smoke detection systems in areas open to corridors.
- 0353GeneralS&S Dpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
- 0500GeneralS&S Dpotential for harm
Meet other general requirements that are deficient.
- 0918GeneralS&S Dpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0920GeneralS&S Dpotential for harm
Ensure proper usage of power strips and extension cords.
- 0923GeneralS&S Dpotential for harm
Have proper medical gas storage and administration areas.
FAQ · About this visit
Common questions about this visit
What happened during the March 8, 2019 survey of GOOD SAMARITAN REHAB AND CARE CENTER?
This was a inspection survey of GOOD SAMARITAN REHAB AND CARE CENTER on March 8, 2019. The surveyor cited 18 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at GOOD SAMARITAN REHAB AND CARE CENTER on March 8, 2019?
Yes, 18 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Include a process for Emergency Preparedness collaboration."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.