| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-11-01 |
2001-12-20 |
Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Resident Assessment Deficiencies |
Do an assessment of the resident every year. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Resident Assessment Deficiencies |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Pattern |
Potential for minimal harm |
| 2001-11-01 |
2001-12-20 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Quality Care Deficiencies |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Quality Care Deficiencies |
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 |
| 2001-11-01 |
2001-12-20 |
Quality Care Deficiencies |
Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Resident Assessment Deficiencies |
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 |
| 2001-11-01 |
2001-12-20 |
Resident Assessment Deficiencies |
Make sure that doctors visit residents regularly, as required. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Pharmacy Service Deficiencies |
At least once a month, have a licensed pharmacist check the drugs that each resident takes. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2001-12-20 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-18 |
2003-03-13 |
Resident Rights Deficiencies |
Tell the resident completely about his or her health status. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-18 |
2003-03-13 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-18 |
2003-03-13 |
Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-18 |
2003-03-13 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-18 |
2003-03-13 |
Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-18 |
2003-03-13 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-18 |
2003-03-13 |
Administration Deficiencies |
Have a detailed, written plan for disasters and emergencies. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-12 |
2004-01-14 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-12 |
2004-01-14 |
Environmental Deficiencies |
Keep sound levels comfortable. |
Pattern |
Potential for minimal harm |
| 2003-12-12 |
2004-01-14 |
Resident Assessment Deficiencies |
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 |
| 2003-12-12 |
2004-01-14 |
Resident Assessment Deficiencies |
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 |
| 2003-12-12 |
2004-01-14 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-12 |
2004-01-14 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-12 |
2004-01-14 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-12-12 |
2004-01-14 |
Pharmacy Service Deficiencies |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-12 |
2004-01-14 |
Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-12 |
2004-01-14 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-12-12 |
2004-01-14 |
Nutrition and Dietary Deficiencies |
Provide food in a way that meets a resident's needs. |
Pattern |
Potential for minimal harm |
| 2003-12-12 |
2004-01-14 |
Nutrition and Dietary Deficiencies |
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. |
Pattern |
Potential for minimal harm |
| 2003-12-12 |
2004-01-14 |
Administration Deficiencies |
Get services outside the nursing home that meet professional standards. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-12 |
2004-01-14 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.