Fire Safety Inspection & Emergency Preparedness Summary
Good Samaritan Society - Ottumwa
2035 West Chester Avenue
Ottumwa, IA 52501
(641) 682-8041
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| Deficiency Category | Inspection Date: 10/17/24 Complaint Reporting Period: 4/1/24 - 3/31/25 | Inspection Date: 8/31/23 Complaint Reporting Period: 4/1/23 - 3/31/24 | Inspection Date: 6/14/22 Complaint Reporting Period: 4/1/22 - 3/31/23 |
|---|---|---|---|
| Emergency Preparedness Deficiencies | |||
| Automatic Sprinkler Systems Deficiencies | |||
| Building Construction Deficiencies | |||
| Services Deficiencies | |||
| Corridor Walls and Doors Deficiencies | |||
| Egress Deficiencies | |||
| Electrical Deficiencies | |||
| Emergency Plans and Fire Drills Deficiencies | |||
| Fire Alarm Systems Deficiencies | |||
| Smoke Deficiencies | |||
| Interior Finish Deficiencies | |||
| Gas, Vacuum, and Electrical Systems Deficiencies | |||
| Hazardous Area Deficiencies | |||
| Illumination and Emergency Power Deficiencies | |||
| Laboratories Deficiencies | |||
| Medical Gases and Anesthetizing Areas Deficiencies | |||
| Smoking Regulations Deficiencies | |||
| Miscellaneous Deficiencies |
Detailed result for inspection on 10/17/24
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Iowa: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| No Emergency Preparedness Deficiencies were found during this inspection period. |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have properly installed electrical wiring and gas equipment. | 10/17/24 | 10/17/24 | 2 - Minimal harm or potential for actual harm | Few |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have exits that are accessible at all times. | 10/17/24 | 11/1/24 | 2 - Minimal harm or potential for actual harm | Few |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 10/17/24 | 11/5/24 | 2 - Minimal harm or potential for actual harm | Some |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have approved installation, maintenance and testing program for fire alarm systems. | 10/17/24 | 11/1/24 | 2 - Minimal harm or potential for actual harm | Some |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | 10/17/24 | 11/6/24 | 2 - Minimal harm or potential for actual harm | Many |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | 10/17/24 | 11/6/24 | 2 - Minimal harm or potential for actual harm | Many |
Inspect, test, and maintain automatic sprinkler systems. | 10/17/24 | 11/7/24 | 2 - Minimal harm or potential for actual harm | Many |
Install corridor and hallway doors that block smoke. | 10/17/24 | 11/6/24 | 2 - Minimal harm or potential for actual harm | Few |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 10/17/24 | 10/31/24 | 2 - Minimal harm or potential for actual harm | Many |
Meet requirements for the use and maintenance of medical gas equipment. | 10/17/24 | 10/17/24 | 2 - Minimal harm or potential for actual harm | Few |
Ensure proper usage of power strips and extension cords. | 10/17/24 | 10/17/24 | 2 - Minimal harm or potential for actual harm | Few |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have restrictions on the use of portable space heaters. | 10/17/24 | 10/31/24 | 2 - Minimal harm or potential for actual harm | Few |
Detailed result for inspection on 8/31/23
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Iowa: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Conduct testing and exercise requirements. | 8/31/23 | 9/13/23 | 2 - Minimal harm or potential for actual harm | Many |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| No Services Deficiencies were found during this inspection period. |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | 8/31/23 | 9/13/23 | 2 - Minimal harm or potential for actual harm | Some |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Install smoke barrier doors that can resist smoke for at least 20 minutes. | 8/31/23 | 9/13/23 | 2 - Minimal harm or potential for actual harm | Some |
Install corridor and hallway doors that block smoke. | 8/31/23 | 9/13/23 | 2 - Minimal harm or potential for actual harm | Some |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have proper medical gas storage and administration areas. | 8/31/23 | 9/8/23 | 2 - Minimal harm or potential for actual harm | Few |
Have generator or other power source capable of supplying service within 10 seconds. | 8/31/23 | 9/8/23 | 2 - Minimal harm or potential for actual harm | Many |
Ensure proper usage of power strips and extension cords. | 8/31/23 | 9/13/23 | 2 - Minimal harm or potential for actual harm | Few |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| No Miscellaneous Deficiencies were found during this inspection period. |
Detailed result for inspection on 6/14/22
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Iowa: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| No Emergency Preparedness Deficiencies were found during this inspection period. |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| No Services Deficiencies were found during this inspection period. |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Install proper backup exit lighting. | 6/14/22 | 6/23/22 | 2 - Minimal harm or potential for actual harm | Some |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have approved installation, maintenance and testing program for fire alarm systems. | 6/14/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Inspect, test, and maintain automatic sprinkler systems. | 6/14/22 | 6/27/22 | 2 - Minimal harm or potential for actual harm | Some |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | 6/14/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Many |
Have generator or other power source capable of supplying service within 10 seconds. | 6/14/22 | 7/14/22 | 2 - Minimal harm or potential for actual harm | Many |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 6/14/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Many |
| This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |