| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Environmental Deficiencies |
01/30/2004 |
Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture. |
Widespread |
Potential for minimal harm |
| Pharmacy Service Deficiencies |
01/30/2004 |
Act when the pharmacist reports something unusual. |
Pattern |
Potential for minimal harm |
| Quality Care Deficiencies |
01/30/2004 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
01/30/2004 |
Let the resident refuse treatment or refuse to take part in an experiment. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/16/2004 |
Provide needed housekeeping and maintenance. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/16/2004 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/16/2004 |
Get rid of garbage properly. |
Widespread |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/16/2004 |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/16/2004 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
12/16/2004 |
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 |
12/16/2004 |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
12/16/2004 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/16/2004 |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/16/2004 |
Give each resident a special diet to help when there is a nutritional problem. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
12/16/2004 |
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 |
12/16/2004 |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
12/16/2004 |
Try to resolve each resident's complaints quickly. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
12/16/2004 |
Allow residents to easily see the results of the nursing home's most recent survey. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
12/16/2004 |
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 |
12/16/2004 |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
02/23/2006 |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
02/23/2006 |
Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture. |
Pattern |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
02/23/2006 |
Protect each resident from all abuse, physical punishment, and being separated from others. |
Isolated |
Actual harm |
| Mistreatment Deficiencies |
02/23/2006 |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
02/23/2006 |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
02/23/2006 |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
02/23/2006 |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
02/23/2006 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| Quality Care Deficiencies |
02/23/2006 |
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 Assessment Deficiencies |
02/23/2006 |
Do an assessment of the resident every year. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
02/23/2006 |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
02/23/2006 |
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 |
02/23/2006 |
Keep assessments completed in the preceding 15 months in the resident's active record. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
02/23/2006 |
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
02/23/2006 |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
02/23/2006 |
Try to resolve each resident's complaints quickly. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
02/23/2006 |
Allow residents to easily see the results of the nursing home's most recent survey. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
02/23/2006 |
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 |
02/23/2006 |
Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. |
Isolated |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Building Service Equipment Deficiencies |
01/28/2004 |
heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
Widespread |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
01/28/2004 |
an approved installation, maintenance and testing program for fire alarm systems. |
Widespread |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
01/28/2004 |
properly maintained smoke detectors. |
Widespread |
Minimal harm or potential for actual harm |
| Furnishings and Decorations Deficiencies |
01/28/2004 |
restrictions on the use of highly flammable materials. |
Widespread |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
01/28/2004 |
proper construction of ducts through walls designed to prevent smoke passage. |
Widespread |
Minimal harm or potential for actual harm |
| Building Service Equipment Deficiencies |
12/14/2004 |
properly protected cooking facilities. |
Isolated |
Minimal harm or potential for actual harm |
| Hazardous Area Deficiencies |
02/21/2006 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Isolated |
Minimal harm or potential for actual harm |