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Facility profile · CCN 366236

Good Shepherd Village

63 federal citations on record , and 1 federal enforcement actions totaling $0.

Special Focus Status

Record summary

Federal record · Q1 2026
63
Total citations
48
Last 3 years
1
Actual harm+
1
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

63 on record
SurveyF-TagViolationSeveritySource
May 1, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
May 1, 2025F825Provide or get specialized rehabilitative services as required for a resident.DComplaint
May 1, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EComplaint
May 1, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FComplaint
May 1, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FComplaint
May 1, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
May 1, 2025F760Ensure that residents are free from significant medication errors.DComplaint
May 1, 2025F759Ensure medication error rates are not 5 percent or greater.DComplaint
May 1, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
May 1, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 1, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
May 1, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 1, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
May 1, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
May 1, 2025F880Provide and implement an infection prevention and control program.DStandard
May 1, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard
May 1, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 1, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
May 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
May 1, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 1, 2025F610Respond appropriately to all alleged violations.DStandard
May 1, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
May 1, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
May 1, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
May 1, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.CStandard
May 1, 2025F567Honor the resident's right to manage his or her financial affairs.EStandard
Mar 20, 2025F880Provide and implement an infection prevention and control program.DComplaint
Mar 20, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Mar 20, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Mar 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 10, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Nov 27, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Nov 27, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Nov 27, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 17, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EComplaint
Sep 7, 2023F551Give the resident's representative the ability to exercise the resident's rights.DComplaint
May 30, 2023F880Provide and implement an infection prevention and control program.DComplaint
May 30, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 30, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
May 30, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 30, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
May 30, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 30, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 8, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
May 8, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 5, 2023F880Provide and implement an infection prevention and control program.DComplaint
Apr 5, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Apr 5, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 19, 2022F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Dec 19, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 19, 2022F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard
Jan 23, 2020F880Provide and implement an infection prevention and control program.DStandard
Jan 23, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 23, 2020F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jan 23, 2020F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Jan 23, 2020F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 23, 2020F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jan 23, 2020F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 23, 2020F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 23, 2020F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 0 civil money penalties totaling $0 and 1 payment-denial actions spanning 20 days.

DateTypeFinePayment denial
May 1, 2025Payment DenialJun 13, 2025 · 20 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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