| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
07/29/2004 |
Give or get lab tests by a certified laboratory. |
Widespread |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
07/29/2004 |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Actual harm |
| Mistreatment Deficiencies |
07/29/2004 |
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 |
07/29/2004 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
07/29/2004 |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/29/2004 |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/29/2004 |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/29/2004 |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Actual harm |
| Quality Care Deficiencies |
07/29/2004 |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/29/2004 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/29/2004 |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Widespread |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/29/2004 |
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. |
Widespread |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/29/2004 |
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/29/2004 |
Develop a plan with the resident and family for the resident's care after leaving the nursing home. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/29/2004 |
Keep assessments completed in the preceding 15 months in the resident's active record. |
Widespread |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/29/2004 |
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
07/29/2004 |
Bill properly: Charged resident for items that Medicare or Medicaid pays for. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
07/29/2004 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
07/29/2004 |
Make sure that private space is available in the nursing home for resident groups or residents' families to meet. |
Pattern |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
08/24/2005 |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Widespread |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
08/24/2005 |
Keep accurate and appropriate medical records. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
08/24/2005 |
Provide needed housekeeping and maintenance. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
08/24/2005 |
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. |
Widespread |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
08/24/2005 |
Make sure that residents are well nourished. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
08/24/2005 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
08/24/2005 |
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 |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
08/24/2005 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
08/24/2005 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
08/24/2005 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| Quality Care Deficiencies |
08/24/2005 |
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 |
08/24/2005 |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/24/2005 |
Do a new assessment after any major change in a resident's physical or mental health. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/24/2005 |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/24/2005 |
Develop a plan with the resident and family for the resident's care after leaving the nursing home. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/24/2005 |
Make sure that doctors visit residents regularly, as required. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/24/2005 |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/24/2005 |
Try to resolve each resident's complaints quickly. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/24/2005 |
Provide written records when a resident is transferred or discharged. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/24/2005 |
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 |
08/10/2006 |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
08/10/2006 |
Make sure that residents are well nourished. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
08/10/2006 |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
08/10/2006 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
08/10/2006 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
08/10/2006 |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/10/2006 |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
08/10/2006 |
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: |
| Medical Gases and Anesthetizing Areas Deficiencies |
08/02/2004 |
proper medical gas storage and administration areas. |
Pattern |
Minimal harm or potential for actual harm |
| Smoking Regulations Deficiencies |
08/02/2004 |
posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
Pattern |
Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills Deficiencies |
08/22/2005 |
did not have a written emergency evacuation plan. |
Widespread |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
08/22/2005 |
fire safety features required by current fire safety codes. |
Pattern |
Minimal harm or potential for actual harm |