Good Samaritan - Parsons

In the surveyor’s words

From the most serious findings on record at Good Samaritan - Parsons, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jan 24, 2022

  The facility reported a census of 44 residents with three residents sampled for accidents. The facility also identified nine residents who used wheelchairs when transported in the facility van. Based on record review and interview the facility failed to ensure Resident (R)1 remained free of accidents when she sustained a fractured patella (kneecap) on 01/20/22 after Certified Nurse Aide (CNA) M failed to apply the facility van's seatbelt over the resident's wheelchair after assisting R1 into the van, and then at a stop sign, CNA M became distracted, which caused her foot to slip off the brake and hit the gas pedal, causing the van to rear-end the car in front of the van. […]

• Actual harm, isolatedF689Jun 28, 2023

  The facility reported a census of 42 residents with 14 sampled, including six residents reviewed for accidents. Based on observation, interview and record review the facility failed to ensure care planned fall prevention interventions were in place for Resident (R)32, with a history of falls, when staff failed to ensure the floor alarm was turned on, and R32 fell in her room and fractured (broken bone) her left hip. Findings included: - Review of R32's Electronic Medical Record (EMR) revealed diagnoses which included: osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain) weakness (lacking strength) and dementia (progressive mental disorder characterized by failing memory, and confusion). […]

• No harm, potential for more than minimal, widespreadF812Apr 9, 2025

  The facility reported a census of 33 residents. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility. This placed the residents at risk for food-borne bacteria. Findings included: - During an initial tour of the resident kitchenette on 04/09/24 at 08:30 AM, the following areas of concern were noted in the kitchen: 1. The kick plate on one of the ovens had broken off and was resting on the floor. 2. Two preparation tables had food debris on the bottom shelf. 3. Three storage racks in the dry storage room had multiple areas of missing protective coating and multiple areas of rust. 4. The stationary can opener had food debris dried onto the sharp area that would enter the can. 5. […]

• No harm, potential for more than minimal, patternF584Jun 28, 2023

  The facility reported a census of 42 residents. Based on observation and interview the facility failed to provide a clean, comfortable, and homelike environment for the residents and visitors on one resident hallway. Findings included: - Observation, on 06/26/23 at 08:00 AM, revealed a strong urine odor from the open doorway of a resident room on Hallway 2. The urine odor permeated into the hallway and to the end of the hall, which contained two other resident rooms. Both residents in these two rooms had severe cognitive deficits and could not voice displeasure in the strong foul odor. Observation, on 06/27/23 at 09:19 AM, revealed housekeeping staff V, about to clean the resident room where the foul odor came from. […]

• No harm, potential for more than minimal, patternF880Jun 28, 2023

  The facility reported a census of 42 residents. Based on observation, interview and record review, the facility failed to maintain a safe, sanitary, and comfortable environment to prevent the development and transmission of communicable infections, regarding not properly cleaning three communal combs and brushes in the beauty shop. Findings included: - An environmental tour of the facility on 06/26/23 at 11:30 AM, with Housekeeping/Maintenance staff U revealed the following items/areas of concern with infection control, in the facility beauty shop: 1. The facility beauty shop contained three unlabeled combs with various colored hairs, lying on the counter. 2. The sink of the beauty shop had scaling and debris on the insides. 3. […]