Good Shepherd Home for the Aged

Facility Information

License Number: HAL-025-023
Site Address: 603 West Street
New Bern, NC 28560
County:Craven
Capacity: 54 Beds

Statement of Deficiencies

Statements of Deficiencies (form used by the state to document inspections) are posted for adult care facilities with survey dates beginning November 1, 2014 and deficiencies or violations were identified.

Note:  A Yes under the column, IDR Pending, indicates the facility has requested Informal Dispute Resolution (IDR), a process that gives a facility the opportunity to dispute all or some of the findings of a state inspection. If the Statement of Deficiency is changed as a result of IDR, the web page will be updated.

Inspection TypeDocument TypeInspection DatePagesIDR Pending
Other No Deficiencies Cited 8/20/2020 No
ACLS Annual, Complaint, and Follow-up Statement of Deficiency 11/19/2019 141 No
ACLS Complaint and Follow-up Statement of Deficiency 3/22/2019 11 No
ACLS Complaint and Follow-up Statement of Deficiency 3/22/2019 9 No
ACLS Annual and Complaint Statement of Deficiency 11/16/2018 168 No
ACLS Annual and Complaint Statement of Deficiency with Plan of Correction 6/7/2017 21 No
ACLS Annual and Complaint Statement of Deficiency 6/7/2017 21 No
ACLS Annual No Deficiencies Cited 1/22/2015 No
Constr Biennial Follow-up Statement of Deficiency with Plan of Correction 11/6/2019 6 No
Constr Biennial Statement of Deficiency with Plan of Correction 7/24/2019 12 No
Constr Biennial Statement of Deficiency 7/24/2019 12 No
Constr Complaint Follow-up No Deficiencies Cited 3/21/2019 0 No
Constr Complaint Follow-up Statement of Deficiency with Plan of Correction 2/15/2019 2 No
Constr Complaint Follow-up Statement of Deficiency 2/15/2019 2 No
Constr Complaint Follow-up Statement of Deficiency with Plan of Correction 12/5/2018 2 No
Constr Complaint Follow-up Statement of Deficiency 12/5/2018 2 No
Constr Complaint Statement of Deficiency with Plan of Correction 10/11/2018 8 No
Constr Complaint Statement of Deficiency 10/11/2018 4 No
Constr Complaint Follow-up No Deficiencies Cited 10/31/2017 0 No
Constr Biennial Follow-up No Deficiencies Cited 10/31/2017 0 No
Constr Complaint Follow-up Statement of Deficiency 7/26/2017 3 No
Constr Biennial Statement of Deficiency 7/26/2017 5 No
Constr Biennial Statement of Deficiency with Plan of Correction 7/26/2017 5 No
Constr Complaint Follow-up Statement of Deficiency with Plan of Correction 7/26/2017 3 No
Constr Complaint Statement of Deficiency 5/12/2017 6 No
Constr Complaint Statement of Deficiency with Plan of Correction 5/12/2017 2 No
Constr Biennial Follow-up No Deficiencies Cited 11/22/2016 0 No
Constr Biennial Statement of Deficiency with Plan of Correction 7/12/2016 3 No
Constr Biennial Follow-up Statement of Deficiency 7/12/2016 6 No
Constr Biennial Follow-up Statement of Deficiency with Plan of Correction 2/2/2016 12 No
Constr Biennial Follow-up Statement of Deficiency 2/2/2016 12 No
Constr Biennial Statement of Deficiency with Plan of Correction 7/22/2015 14 No
Constr Biennial Statement of Deficiency 7/22/2015 14 No

Star Rating

Star Ratings are based on the results of DHSR inspections and some inspections by the County Department of Social Services (DSS).

StarsScoreIssue DateMeritsDemeritsInspection Type 
(ZERO STARS) (0) 37 2/19/2020 0 63 Annual View Worksheet
(ZERO STARS) (0) 65 1/31/2020 3.75 0 Follow-up View Worksheet
(ZERO STARS) (0) 61.25 1/31/2020 2.5 3.5 Follow-up View Worksheet
(ZERO STARS) (0) 62.25 10/4/2019 26.25 3.5 Follow-up View Worksheet
(ZERO STARS) (0) 39.5 4/2/2019 2 62.5 Annual View Worksheet
Three Stars (3) 92.5 7/18/2017 2.5 10 Annual View Worksheet
Four Stars (4) 104.5 2/20/2015 4.5 0 Annual View Worksheet
Three Stars (3) 105.5 11/21/2013 5.5 0 Annual View Worksheet
Three Stars (3) 105.5 4/9/2013 0 0 Reissue View Worksheet
Three Stars (3) 98 9/18/2012 8 0 Annual View Worksheet
Three Stars (3) 95 8/11/2011 5 0 Annual View Worksheet
Three Stars (3) 91.5 1/12/2011 2.5 0 Follow-up View Worksheet
Two Stars (2) 89 12/13/2010 0 10 Complaint View Worksheet
Three Stars (3) 99 8/20/2010 4.5 2 Annual View Worksheet
Three Stars (3) 91 11/30/2009 1.25 0 Follow-up View Worksheet
Two Stars (2) 89.75 9/23/2009 6.25 3.5 Follow-up View Worksheet
Two Stars (2) 87 7/22/2009 2 15 Annual View Worksheet

Penalties

Penalties imposed during the last 36 months are listed.

Penalty Issued DatePenalty AmountPenalty TypeReason for IssuanceCurrent StatusAmount PaidDate of Payment
Rule CitedNature of Violation
8/5/2019 $2,000.00 A2 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(1) Declaration of Residents' Rights Facility failed to ensure residents were treated with dignity and respect and received adequate care and services. Paid in Full $2,000.00 10/2/2019
9/8/2021 $12,000.00 A1 10A NCAC F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Residents' Rights Facility failed to ensure a sampled resident was free of neglect related to not administering as needed medications and continuous supplemental oxygen; complaints of difficulty breathing; not notifying hospice or calling emergency medical services immediately following an alleged witnessed head injury; and personal care assistance. Settlement Agreement 09/09/2021