| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Nutrition and Dietary Deficiencies |
08/15/2003 |
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. |
Widespread |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
08/15/2003 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| Quality Care Deficiencies |
08/15/2003 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/15/2003 |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/15/2003 |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/15/2003 |
Keep assessments completed in the preceding 15 months in the resident's active record. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/15/2003 |
Try to resolve each resident's complaints quickly. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/15/2003 |
Provide services to meet the needs and preferences of each resident. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
10/28/2004 |
Get rid of garbage properly. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
10/28/2004 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
10/28/2004 |
Make sure that residents are well nourished. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
10/28/2004 |
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. |
Widespread |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
10/28/2004 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
10/28/2004 |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
10/28/2004 |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
10/28/2004 |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
10/28/2004 |
Quickly give a resident's personal money to the heads of his or her estate after the resident's death. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
10/28/2004 |
Provide proof that all residents' personal money which is deposited with the nursing home, is secure. |
Widespread |
Potential for minimal harm |
| Resident Rights Deficiencies |
10/28/2004 |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
02/09/2006 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
02/09/2006 |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
02/09/2006 |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
02/09/2006 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
02/09/2006 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
02/09/2006 |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
02/09/2006 |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Emergency Plans and Fire Drills Deficiencies |
08/21/2003 |
record of quarterly fire drills for each shift under varying conditions. |
Pattern |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
08/21/2003 |
exits that are accessible at all times. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
08/21/2003 |
an approved installation, maintenance and testing program for fire alarm systems. |
Isolated |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
08/21/2003 |
fire safety features required by current fire safety codes. |
Pattern |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
08/21/2003 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Isolated |
Minimal harm or potential for actual harm |
| Smoking Regulations Deficiencies |
08/21/2003 |
posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
11/03/2004 |
an approved automatic sprinkler system connected to the fire alarm system. |
Pattern |
Potential for minimal harm |
| Automatic Sprinkler Systems Deficiencies |
11/03/2004 |
automatic sprinkler systems that have been maintained in working order. |
Widespread |
Potential for minimal harm |
| Corridor Walls and Doors Deficiencies |
11/03/2004 |
corridor and hallway doors that block smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
11/03/2004 |
properly installed electrical wiring and equipment. |
Isolated |
Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills Deficiencies |
11/03/2004 |
record of quarterly fire drills for each shift under varying conditions. |
Widespread |
Potential for minimal harm |
| Exits and Egress Deficiencies |
11/03/2004 |
exit stairways and towers that are smoke proof. |
Isolated |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
11/03/2004 |
exits that are accessible at all times. |
Isolated |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
11/03/2004 |
proper exit design. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
11/03/2004 |
an approved installation, maintenance and testing program for fire alarm systems. |
Pattern |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
11/03/2004 |
properly maintained smoke detectors. |
Isolated |
Minimal harm or potential for actual harm |
| Furnishings and Decorations Deficiencies |
11/03/2004 |
properly sized and located linen or trash receptacles. |
Isolated |
Minimal harm or potential for actual harm |
| Hazardous Area Deficiencies |
11/03/2004 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Isolated |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
11/03/2004 |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
Isolated |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
11/03/2004 |
protected exits that allow the resident to escape the building. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
02/15/2006 |
an approved automatic sprinkler system connected to the fire alarm system. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
02/15/2006 |
corridor and hallway doors that block smoke. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
02/15/2006 |
an approved installation, maintenance and testing program for fire alarm systems. |
Pattern |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
02/15/2006 |
proper stairway enclosures and vertical shafts. |
Pattern |
Minimal harm or potential for actual harm |