Good Shepherd Health and Rehabilitation
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2024-09-13 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-17 — IMMEDIATE JEOPARDY (tag F0865, severity J)
Administration Deficiencies · correction not recorded in CMS data
Have a plan that describes the process for conducting QAPI and QAA activities.
2023-11-17 — IMMEDIATE JEOPARDY (tag F0835, severity J)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2023-11-17 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-17 — IMMEDIATE JEOPARDY (tag F0656, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2023-11-17 — IMMEDIATE JEOPARDY (tag F0837, severity J)
Administration Deficiencies · correction not recorded in CMS data
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Staffing, from payroll records
Nursing hours / resident / day
3.10
state median 3.15
Weekend staffing gap
+2%
more nursing hours on weekends · state median −5%
RN hours / resident / day
0.44
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
40%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $24,655 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-13 | Fine | $14,260 |
| 2023-11-17 | Fine | $5,197 |
| 2023-11-17 | Fine | $5,198 |
Ownership
Ownership type: For profit - Corporation. Part of the PLAINVIEW HEALTHCARE PARTNERS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- LAURELLWOOD POST- ACUTE AND REHABILITATION CENTER (SAINT PETERSBURG, FL) —
- PINELLAS PARK FL OPCO, LLC (PINELLAS PARK, FL) —
- ST. ANDREW POST-ACUTE REHABILITATION CENTER (TAMPA, FL) —
- ORCHARDVIEW POST-ACUTE AND REHABILITATION CENTER (KINGSPORT, TN) —
- CHURCH HILL POST-ACUTE AND REHABILITATION CENTER (CHURCH HILL, TN) —
- COUNTRYSIDE POST-ACUTE AND REHABILITATION CENTER (LAWRENCEBURG, TN) —
- HUNTSVILLE POST-ACUTE AND REHABILITATION CENTER (HUNTSVILLE, TN) —
- BEECH TREE HEALTH AND REHABILITATION (JELLICO, TN) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2024-09-13 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-13 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-09-13 | F0790 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-17 | F0656 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2023-11-17 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-11-17 | F0835 | Administration Deficiencies | J | not recorded |
| 2023-11-17 | F0837 | Administration Deficiencies | J | not recorded |
| 2023-11-17 | F0865 | Administration Deficiencies | J | not recorded |
| 2019-10-31 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-10-31 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-10-31 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2018-10-11 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2018-10-11 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2018-10-11 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |