Good Shepherd Home Raker Center

In the surveyor’s words

From the most serious findings on record at Good Shepherd Home Raker Center, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 21, 2026

  Based on review of facility policy, clinical records, facility documentation, and staff interview, it was determined the facility failed to ensure each resident was free from physical abuse which resulted in physical injuries of abrasions and ecchymosis for one of six sampled residents. (Resident 1) Findings include: Review of the facility policy entitled, Identification and Reporting of Suspected Adult and Older Adult Abuse, last reviewed September 2025, revealed the purpose of the policy was to protect the health, welfare, and well-being of residents. The policy applied to all staff of the Good [NAME] Rehabilitation Network. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2026

  Based on observation, facility policy review, and staff interview, it was determined that the facility failed to store food in a sanitary manner in the dietary department.Findings include: Review of the facility's policy titled, Food and Nutrition Services Department Long Term Care Policy and Procedure Manual, last reviewed July 30, 2026, revealed that staff were to mark ready-to-eat foods with a discard date at the time of opening or preparation. Observations during the kitchen tour on August 11, 2026, at 9:28 a.m., revealed the following: In a reach-in refrigerator, there was an open carton of deli salad and four pre-poured drinks that had no label or date. […]

• No harm, potential for more than minimal, widespreadF812Aug 22, 2024

  Based on observation and review of facility documentation, it was determined that the facility failed to store and serve food under sanitary conditions in the kitchen. Findings include: Observation of the kitchen on August 20, 2024, at 10:15 a.m. revealed the following: There were two fruit flies in the food preparation area. There was a large fly on the cold preparation station. There was a pan of chicken on the same preparation station. The plastic wrap on the pan did not fully cover the pan and the chicken was open to air. There was an uncovered garbage can by the coffee preparation station. There was cheese in the reach in refrigerator with a use by date of August 18, 2024. […]

• No harm, potential for more than minimal, widespreadF812Oct 13, 2023

  Based on observation and interview, it was determined that the facility failed to store food under sanitary conditions in the kitchen. Findings include: Observation of the kitchen on October 11, 2023, at 9:05 a.m. revealed two bottles of thickened water with a use by date of August 2, 2023, and September 2, 2023. There were four bottles of thickened prune juice with use by dates of October 8, 2023, and two bottles of thickened prune juice with use by dates of September 25, 2023. There was an accumulation of a brown substance on the handle of the meat slicer. In the walk-in refrigerator, there were eight half gallons of milk with use by dates of October 6, 2023. […]

• No harm, potential for more than minimal, patternF584Oct 13, 2023

  Based on observation, it was determined that the facility failed to provide a comfortable, homelike environment for residents, staff and public on two of three nursing units. ([NAME] 3 and [NAME] 4) Findings include: Observation on October 11, 2023, at 10:22 a.m., revealed that the walls throughout the [NAME] 3 nursing unit were marred and scratched above and below the handrails, and the panels on the doors to resident rooms were also marred and scratched. The door jams to the main resident areas were marred and slightly damaged. Observations on October 11 and 12, 2023, at various times throughout the day, revealed that the lower half of the walls throughout the [NAME] 4 nursing unit were marred and scratched. […]