| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-03-26 |
2001-05-13 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Actual harm |
| 2001-03-26 |
2001-05-13 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-03-26 |
2001-05-13 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-03-26 |
2001-05-13 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-26 |
2001-05-13 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-03-26 |
2001-05-13 |
Administration Deficiencies |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-26 |
2001-05-13 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-22 |
2002-04-19 |
Resident Rights Deficiencies |
Let the resident refuse treatment or refuse to take part in an experiment. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-22 |
2002-04-19 |
Mistreatment Deficiencies |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-02-22 |
2002-04-19 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-22 |
2002-04-19 |
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 |
| 2002-02-22 |
2002-04-19 |
Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-02-22 |
2002-04-19 |
Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-22 |
2002-04-19 |
Nutrition and Dietary Deficiencies |
Offer other nutritional food to each resident who will not eat the food served. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-22 |
2002-04-19 |
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 |
| 2002-02-22 |
2002-04-19 |
Administration Deficiencies |
Give or get x-rays and other tests to meet the needs of residents. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-02-22 |
2002-04-19 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-06-24 |
2003-07-21 |
Resident Rights Deficiencies |
Let the resident refuse treatment or refuse to take part in an experiment. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-06-24 |
2003-08-13 |
Mistreatment Deficiencies |
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 |
| 2003-06-24 |
2003-08-13 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-06-24 |
2003-08-13 |
Quality Care Deficiencies |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-06-24 |
2003-08-13 |
Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-06-24 |
2003-07-25 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Pattern |
Potential for minimal harm |
| 2003-06-24 |
2003-08-13 |
Resident Assessment Deficiencies |
Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-06-24 |
2003-08-13 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Widespread |
Potential for minimal harm |
| 2003-06-24 |
2003-08-13 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-06-24 |
2003-06-24 |
Environmental Deficiencies |
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) an adequate bed; 4) furniture that meets the resident's needs; or 5) enough closet space. |
Pattern |
Potential for minimal harm |
| 2003-06-24 |
2003-08-13 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.