| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
02/06/2002 |
Follow all laws and professional standards. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
02/06/2002 |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
02/06/2002 |
Keep safe, clean and homelike surroundings. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
02/06/2002 |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
02/06/2002 |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
02/06/2002 |
Properly mark drugs and other similar products. |
Pattern |
Potential for minimal harm |
| Quality Care Deficiencies |
02/06/2002 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
02/06/2002 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
03/13/2003 |
Provide clean bed and bath linens that are in good condition. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
03/13/2003 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
03/13/2003 |
Get rid of garbage properly. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
03/13/2003 |
Have a program to keep infection from spreading. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
03/13/2003 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
03/13/2003 |
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. |
Pattern |
Potential for minimal harm |
| Pharmacy Service Deficiencies |
03/13/2003 |
Make sure that residents are safe from serious medication errors. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/13/2003 |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/13/2003 |
Give or get dental care for each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
07/28/2004 |
Hire a qualified activities director. |
Pattern |
Potential for minimal harm |
| Administration Deficiencies |
07/28/2004 |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
07/28/2004 |
Quickly tell the resident's doctor the results of lab tests. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/28/2004 |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
07/28/2004 |
Keep temperature levels comfortable and safe. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/28/2004 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
07/28/2004 |
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 |
| Nutrition and Dietary Deficiencies |
07/28/2004 |
Make sure that residents are well nourished. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
07/28/2004 |
Provide food in a way that meets a resident's needs. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
07/28/2004 |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
07/28/2004 |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
Isolated |
Actual harm |
| Quality Care Deficiencies |
07/28/2004 |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/28/2004 |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/28/2004 |
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 |
| Quality Care Deficiencies |
07/28/2004 |
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 |
07/28/2004 |
Give each resident a special diet to help when there is a nutritional problem. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/28/2004 |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Actual harm |
| Resident Assessment Deficiencies |
07/28/2004 |
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 |
07/28/2004 |
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Corridor Walls and Doors Deficiencies |
03/19/2003 |
corridor and hallway doors that block smoke. |
Pattern |
Potential for minimal harm |
| Emergency Plans and Fire Drills Deficiencies |
03/19/2003 |
record of quarterly fire drills for each shift under varying conditions. |
Widespread |
Minimal harm or potential for actual harm |
| Hazardous Area Deficiencies |
03/19/2003 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Widespread |
Potential for minimal harm |
| Smoke Compartmentation and Control Deficiencies |
03/19/2003 |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
Pattern |
Potential for minimal harm |
| Automatic Sprinkler Systems Deficiencies |
07/30/2004 |
an approved automatic sprinkler system connected to the fire alarm system. |
Pattern |
Potential for minimal harm |
| Corridor Walls and Doors Deficiencies |
07/30/2004 |
corridor and hallway doors that block smoke. |
Widespread |
Potential for minimal harm |
| Electrical Deficiencies |
07/30/2004 |
properly installed electrical wiring and equipment. |
Pattern |
Potential for minimal harm |
| Smoke Compartmentation and Control Deficiencies |
07/30/2004 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Pattern |
Potential for minimal harm |