| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
10/30/2003 |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
10/30/2003 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
10/30/2003 |
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. |
Widespread |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
10/30/2003 |
Make sure that the attending doctor orders special diets. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
10/30/2003 |
Provide special eating equipment and utensils for each resident who needs them. |
Isolated |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
10/30/2003 |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
10/30/2003 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
10/30/2003 |
Give or get dental care for each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
10/30/2003 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
10/30/2003 |
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 Rights Deficiencies |
10/30/2003 |
Provide care for each resident in a way that keeps or builds the resident's quality of life. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
10/30/2003 |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
11/18/2004 |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
11/18/2004 |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| Pharmacy Service Deficiencies |
11/18/2004 |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/18/2004 |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/18/2004 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/18/2004 |
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/18/2004 |
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
11/18/2004 |
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 |
11/18/2004 |
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 |
11/18/2004 |
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 |
11/18/2004 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
09/16/2005 |
Set up or keep a group of people to review and ensure quality. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
09/16/2005 |
Provide needed housekeeping and maintenance. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/16/2005 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/16/2005 |
Get rid of garbage properly. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/16/2005 |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/16/2005 |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Pattern |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
09/16/2005 |
Offer other nutritional food to each resident who will not eat the food served. |
Pattern |
Potential for minimal 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 |
| Quality Care Deficiencies |
09/16/2005 |
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. |
Pattern |
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 the right treatment and services to residents who have mental or social problems adjusting. |
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 |
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: |
| Corridor Walls and Doors Deficiencies |
02/28/2003 |
corridor and hallway doors that block smoke. |
Pattern |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
02/28/2003 |
hallway or ground-level exits in all residents' rooms. |
Pattern |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
02/28/2003 |
proper construction of ducts through walls designed to prevent smoke passage. |
Pattern |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
11/16/2004 |
exits that are accessible at all times. |
Isolated |
Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas Deficiencies |
11/16/2004 |
no-smoking signs where oxygen is used. |
Pattern |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
11/16/2004 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Isolated |
Minimal harm or potential for actual harm |
| Automatic Sprinkler Systems Deficiencies |
09/15/2005 |
an approved automatic sprinkler system connected to the fire alarm system. |
Isolated |
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 |
| Building Service Equipment Deficiencies |
09/15/2005 |
heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
Isolated |
Minimal harm or potential for actual harm |
| Building Service Equipment Deficiencies |
09/15/2005 |
properly protected cooking facilities. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
09/15/2005 |
corridor and hallway doors that block smoke. |
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 |
| Smoke Compartmentation and Control Deficiencies |
09/15/2005 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Isolated |
Minimal harm or potential for actual harm |
| Vertical Openings Deficiencies |
09/15/2005 |
proper stairway enclosures and vertical shafts. |
Isolated |
Minimal harm or potential for actual harm |