| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
04/02/2003 |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
04/02/2003 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
04/02/2003 |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
04/02/2003 |
Keep all essential equipment working safely. |
Widespread |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
04/02/2003 |
Offer other nutritional food to each resident who will not eat the food served. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
04/02/2003 |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
04/02/2003 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| Quality Care Deficiencies |
04/02/2003 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/02/2003 |
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 |
04/02/2003 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
04/02/2003 |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
05/19/2004 |
1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/19/2004 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/19/2004 |
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
05/19/2004 |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
05/19/2004 |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
Widespread |
Potential for minimal harm |
| Resident Rights Deficiencies |
05/19/2004 |
Try to resolve each resident's complaints quickly. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
05/19/2004 |
Send and promptly deliver unopened mail to residents. |
Widespread |
Potential for minimal harm |
| Administration Deficiencies |
11/10/2005 |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Widespread |
Immediate jeopardy to resident health or safety |
| Administration Deficiencies |
11/10/2005 |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
11/10/2005 |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
11/10/2005 |
Keep safe, clean and homelike surroundings. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
11/10/2005 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Widespread |
Immediate jeopardy to resident health or safety |
| Environmental Deficiencies |
11/10/2005 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
11/10/2005 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Isolated |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
11/10/2005 |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Widespread |
Immediate jeopardy to resident health or safety |
| Mistreatment Deficiencies |
11/10/2005 |
1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. |
Isolated |
Actual harm |
| Mistreatment Deficiencies |
11/10/2005 |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Widespread |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
11/10/2005 |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Widespread |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
11/10/2005 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
11/10/2005 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
11/10/2005 |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
11/10/2005 |
Use the services of a licensed pharmacist. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
11/10/2005 |
Properly mark drugs and other similar products. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
11/10/2005 |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/10/2005 |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
Pattern |
Actual harm |
| Quality Care Deficiencies |
11/10/2005 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/10/2005 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| Quality Care Deficiencies |
11/10/2005 |
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/10/2005 |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/10/2005 |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Widespread |
Immediate jeopardy to resident health or safety |
| Quality Care Deficiencies |
11/10/2005 |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Actual harm |
| Resident Rights Deficiencies |
11/10/2005 |
Let residents complain without being treated differently or badly. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
11/10/2005 |
Try to resolve each resident's complaints quickly. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
11/10/2005 |
Listen to the resident or family groups or act on their complaints or suggestions. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
11/10/2005 |
Make sure that each resident has the right to join in social, religious, and community activities. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
11/10/2005 |
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: |
| Automatic Sprinkler Systems Deficiencies |
04/15/2003 |
portable fire extinguishers. |
Widespread |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
04/15/2003 |
properly protected cooking facilities. |
Pattern |
Potential for minimal harm |
| Exits and Egress Deficiencies |
04/15/2003 |
exits that are accessible at all times. |
Pattern |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
04/15/2003 |
proper exit design. |
Pattern |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
04/15/2003 |
a fire alarm system that can be heard throughout the facility. |
Isolated |
Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas Deficiencies |
04/15/2003 |
proper medical gas storage and administration areas. |
Isolated |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
04/15/2003 |
fire safety features required by current fire safety codes. |
Widespread |
Potential for minimal harm |
| Smoke Compartmentation and Control Deficiencies |
04/15/2003 |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
Pattern |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
04/15/2003 |
protected exits that allow the resident to escape the building. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
05/25/2004 |
automatic sprinkler systems that have been maintained in working order. |
Isolated |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
05/25/2004 |
properly installed electrical wiring and equipment. |
Pattern |
Potential for minimal harm |
| Emergency Plans and Fire Drills Deficiencies |
05/25/2004 |
record of quarterly fire drills for each shift under varying conditions. |
Pattern |
Potential for minimal harm |
| Hazardous Area Deficiencies |
05/25/2004 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
10/26/2005 |
an approved automatic sprinkler system connected to the fire alarm system. |
Pattern |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
10/26/2005 |
automatic sprinkler systems that have been maintained in working order. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
10/26/2005 |
an approved installation, maintenance and testing program for fire alarm systems. |
Pattern |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
10/26/2005 |
fire safety features required by current fire safety codes. |
Isolated |
Minimal harm or potential for actual harm |
| Smoking Regulations Deficiencies |
10/26/2005 |
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 |