| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
09/12/2003 |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/12/2003 |
Provide needed housekeeping and maintenance. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/12/2003 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/12/2003 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Potential for minimal harm |
| Mistreatment Deficiencies |
09/12/2003 |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
09/12/2003 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/12/2003 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
09/12/2003 |
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 |
09/12/2003 |
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 Assessment Deficiencies |
09/12/2003 |
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 Rights Deficiencies |
09/12/2003 |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
08/19/2004 |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
08/19/2004 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
08/19/2004 |
Make sure that residents are well nourished. |
Widespread |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
08/19/2004 |
Store, cook, and give out food in a safe and clean way. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
08/19/2004 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/19/2004 |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
08/19/2004 |
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 |
| Administration Deficiencies |
09/09/2005 |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Widespread |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
09/09/2005 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
09/09/2005 |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/09/2005 |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/09/2005 |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/09/2005 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Automatic Sprinkler Systems Deficiencies |
09/18/2003 |
properly working alarms on sprinkler valves. |
Widespread |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
09/18/2003 |
automatic sprinkler systems that have been maintained in working order. |
Widespread |
Minimal harm or potential for actual harm |
| Building Contruction Deficiencies |
09/18/2003 |
approved construction type or materials. |
Widespread |
Minimal harm or potential for actual harm |
| Building Service Equipment Deficiencies |
09/18/2003 |
heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
Widespread |
Minimal harm or potential for actual harm |
| Building Service Equipment Deficiencies |
09/18/2003 |
properly protected cooking facilities. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
09/18/2003 |
corridor and hallway doors that block smoke. |
Pattern |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
09/18/2003 |
exits that are accessible at all times. |
Widespread |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
09/18/2003 |
a fire alarm system that can be heard throughout the facility. |
Widespread |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
09/18/2003 |
an approved installation, maintenance and testing program for fire alarm systems. |
Widespread |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
09/18/2003 |
properly maintained smoke detectors. |
Widespread |
Minimal harm or potential for actual harm |
| Furnishings and Decorations Deficiencies |
09/18/2003 |
restrictions on the use of highly flammable materials. |
Isolated |
Minimal harm or potential for actual harm |
| Hazardous Area Deficiencies |
09/18/2003 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Isolated |
Minimal harm or potential for actual harm |
| Illumination and Emergency Power Deficiencies |
09/18/2003 |
proper backup exit lighting. |
Widespread |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
09/18/2003 |
proper construction of ducts through walls designed to prevent smoke passage. |
Widespread |
Minimal harm or potential for actual harm |