| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
07/10/2003 |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Pattern |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
07/10/2003 |
Give or get lab tests by a certified laboratory. |
Pattern |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
07/10/2003 |
Train all employees on what to do in an emergency. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/10/2003 |
Keep safe, clean and homelike surroundings. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/10/2003 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/10/2003 |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/10/2003 |
Provide bedrooms that don't allow residents to see each other when privacy is needed. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/10/2003 |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/10/2003 |
Put firmly secured handrails on each side of hallways. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/10/2003 |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
07/10/2003 |
Give the right treatment and services to residents who have mental or social problems adjusting. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
07/10/2003 |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
07/10/2003 |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
07/10/2003 |
Send and promptly deliver unopened mail to residents. |
Pattern |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
07/30/2004 |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
07/30/2004 |
Train all employees on what to do in an emergency. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/30/2004 |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
07/30/2004 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/30/2004 |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Pattern |
Potential for minimal harm |
| Quality Care Deficiencies |
07/30/2004 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| Resident Rights Deficiencies |
07/30/2004 |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/18/2005 |
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
07/18/2005 |
Keep all essential equipment working safely. |
Pattern |
Minimal harm or potential for actual harm |
| Mistreatment Deficiencies |
07/18/2005 |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
07/18/2005 |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Corridor Walls and Doors Deficiencies |
07/10/2003 |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
Widespread |
Potential for minimal harm |
| Corridor Walls and Doors Deficiencies |
07/10/2003 |
corridor and hallway doors that block smoke. |
Widespread |
Potential for minimal harm |
| Emergency Plans and Fire Drills Deficiencies |
07/10/2003 |
record of quarterly fire drills for each shift under varying conditions. |
Widespread |
Potential for minimal harm |
| Exits and Egress Deficiencies |
07/10/2003 |
exits that are accessible at all times. |
Widespread |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
07/10/2003 |
an approved installation, maintenance and testing program for fire alarm systems. |
Widespread |
Potential for minimal harm |
| Hazardous Area Deficiencies |
07/10/2003 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Widespread |
Potential for minimal harm |
| Illumination and Emergency Power Deficiencies |
07/10/2003 |
emergency lighting that can last at least 1 1/2 hours. |
Widespread |
Immediate jeopardy to resident health or safety |
| Illumination and Emergency Power Deficiencies |
07/10/2003 |
properly located and lighted Exit signs. |
Widespread |
Immediate jeopardy to resident health or safety |
| Automatic Sprinkler Systems Deficiencies |
07/30/2004 |
portable fire extinguishers. |
Widespread |
Potential for minimal harm |
| Building Contruction Deficiencies |
07/30/2004 |
approved construction type or materials. |
Widespread |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
07/30/2004 |
corridor and hallway doors that block smoke. |
Widespread |
Potential for minimal harm |
| Corridor Walls and Doors Deficiencies |
07/30/2004 |
signs that state that exit doors are to be kept closed. |
Widespread |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
07/30/2004 |
weekly inspections and monthly testing of generators. |
Widespread |
Minimal harm or potential for actual harm |
| Exits and Egress Deficiencies |
07/30/2004 |
exits that are accessible at all times. |
Pattern |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
07/30/2004 |
an approved installation, maintenance and testing program for fire alarm systems. |
Widespread |
Potential for minimal harm |
| Hazardous Area Deficiencies |
07/30/2004 |
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 |
07/30/2004 |
proper backup exit lighting. |
Widespread |
Potential for minimal harm |
| Illumination and Emergency Power Deficiencies |
07/30/2004 |
emergency lighting that can last at least 1 1/2 hours. |
Widespread |
Immediate jeopardy to resident health or safety |
| Smoking Regulations Deficiencies |
07/30/2004 |
posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
Widespread |
Potential for minimal harm |