| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Administration Deficiencies |
04/24/2003 |
Keep accurate and appropriate medical records. |
Pattern |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
04/24/2003 |
Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
04/24/2003 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
04/24/2003 |
Make sure that residents are well nourished. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/24/2003 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
04/24/2003 |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
04/24/2003 |
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
04/24/2003 |
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 |
03/04/2004 |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
03/04/2004 |
Keep adequate and comfortable lighting in all areas. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
03/04/2004 |
Keep sound levels comfortable. |
Pattern |
Potential for minimal harm |
| Environmental Deficiencies |
03/04/2004 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
03/04/2004 |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
| Environmental Deficiencies |
03/04/2004 |
Put firmly secured handrails on each side of hallways. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
03/04/2004 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
03/04/2004 |
Make sure that residents are safe from serious medication errors. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
03/04/2004 |
Properly mark drugs and other similar products. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
03/04/2004 |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
03/04/2004 |
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 |
| Administration Deficiencies |
01/21/2005 |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Widespread |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
01/21/2005 |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
| Pharmacy Service Deficiencies |
01/21/2005 |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
01/21/2005 |
Make sure that residents are safe from serious medication errors. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
01/21/2005 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Potential for minimal harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Automatic Sprinkler Systems Deficiencies |
03/03/2004 |
properly working alarms on sprinkler valves. |
Widespread |
Potential for minimal harm |
| Automatic Sprinkler Systems Deficiencies |
03/03/2004 |
automatic sprinkler systems that have been maintained in working order. |
Widespread |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
03/03/2004 |
properly protected cooking facilities. |
Widespread |
Potential for minimal harm |
| Corridor Walls and Doors Deficiencies |
03/03/2004 |
corridor and hallway doors that block smoke. |
Widespread |
Potential for minimal harm |
| Exits and Egress Deficiencies |
03/03/2004 |
exits that are accessible at all times. |
Widespread |
Potential for minimal harm |
| Hazardous Area Deficiencies |
03/03/2004 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Widespread |
Potential for minimal harm |
| Smoke Compartmentation and Control Deficiencies |
03/03/2004 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Widespread |
Potential for minimal harm |
| Smoking Regulations Deficiencies |
03/03/2004 |
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 |
| Automatic Sprinkler Systems Deficiencies |
01/21/2005 |
properly working sprinkler alarm system. |
Widespread |
Minimal harm or potential for actual harm |
| Building Service Equipment Deficiencies |
01/21/2005 |
properly protected cooking facilities. |
Isolated |
Minimal harm or potential for actual harm |
| Corridor Walls and Doors Deficiencies |
01/21/2005 |
corridor and hallway doors that block smoke. |
Pattern |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
01/21/2005 |
proper power supply for life support equipment. |
Pattern |
Minimal harm or potential for actual harm |
| Electrical Deficiencies |
01/21/2005 |
weekly inspections and monthly testing of generators. |
Widespread |
Minimal harm or potential for actual harm |
| Fire Alarm Systems Deficiencies |
01/21/2005 |
a fire alarm system that can be heard throughout the facility. |
Widespread |
Immediate jeopardy to resident health or safety |
| Hazardous Area Deficiencies |
01/21/2005 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Pattern |
Minimal harm or potential for actual harm |
| Illumination and Emergency Power Deficiencies |
01/21/2005 |
emergency lighting that can last at least 1 1/2 hours. |
Pattern |
Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control Deficiencies |
01/21/2005 |
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 |
| Smoke Compartmentation and Control Deficiencies |
01/21/2005 |
smoke barrier doors that can resist smoke for at least 20 minutes. |
Pattern |
Minimal harm or potential for actual harm |
| Smoking Regulations Deficiencies |
01/21/2005 |
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 |