| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
03/20/2003 |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
03/20/2003 |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
03/20/2003 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Potential for minimal harm |
| Quality Care Deficiencies |
03/20/2003 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
03/20/2003 |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
03/20/2003 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
06/10/2004 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
06/10/2004 |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
06/10/2004 |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
06/10/2004 |
Provide bedrooms that don't allow residents to see each other when privacy is needed. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
06/10/2004 |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
06/10/2004 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
06/10/2004 |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
06/10/2004 |
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 |
06/10/2004 |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
06/10/2004 |
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 |
06/10/2004 |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| Resident Assessment Deficiencies |
06/10/2004 |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
06/10/2004 |
Tell the resident completely about his or her health status. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/16/2005 |
Get rid of garbage properly. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/16/2005 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
09/16/2005 |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
09/16/2005 |
Make sure that residents are well nourished. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
09/16/2005 |
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 |
09/16/2005 |
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 |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
09/16/2005 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
09/16/2005 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/16/2005 |
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 |
09/16/2005 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/16/2005 |
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 |
09/16/2005 |
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 |
09/16/2005 |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/16/2005 |
Give or get special rehabilitation if in the patient's plan of care. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/16/2005 |
Try to resolve each resident's complaints quickly. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/16/2005 |
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 |
09/16/2005 |
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: |
| Miscellaneous Deficiencies |
03/20/2003 |
fire safety features required by current fire safety codes. |
Widespread |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
09/15/2005 |
automatic sprinkler systems that have been maintained in working order. |
Pattern |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
09/15/2005 |
weekly inspections and monthly testing of generators. |
Widespread |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
09/15/2005 |
properly installed electrical wiring and equipment. |
Pattern |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
09/15/2005 |
exit stairways and towers that are smoke proof. |
Widespread |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
09/15/2005 |
exits that are accessible at all times. |
Isolated |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
09/15/2005 |
corridors or aisles that are unobstructed and are at least 8 feet in width. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
09/15/2005 |
properly maintained smoke detectors. |
Widespread |
Minimal harm or potential for actual harm |
| Furnishings and Decorations Deficiencies |
09/15/2005 |
restrictions on the use of highly flammable materials. |
Isolated |
Minimal harm or potential for actual harm |
| Furnishings and Decorations Deficiencies |
09/15/2005 |
properly sized and located linen or trash receptacles. |
Pattern |
Minimal harm or potential for actual harm |
| Illumination and Emergency Power Deficiencies |
09/15/2005 |
properly located and lighted Exit signs. |
Widespread |
Minimal harm or potential for actual harm |
| Miscellaneous Deficiencies |
09/15/2005 |
fire safety features required by current fire safety codes. |
Pattern |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
09/15/2005 |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
Widespread |
Minimal harm or potential for actual harm |
| Smoking Regulations Deficiencies |
09/15/2005 |
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 |