| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-04-05 |
0000-00-00 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-05 |
2002-05-27 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-05 |
2002-04-05 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-05 |
2002-05-24 |
Quality Care Deficiencies |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-05 |
2002-05-27 |
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 |
| 2002-04-05 |
2002-05-27 |
Resident Assessment Deficiencies |
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 |
| 2002-04-05 |
2002-05-08 |
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 |
| 2002-04-05 |
2002-05-03 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-05 |
2002-05-03 |
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 |
| 2002-04-05 |
2002-05-10 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-04-05 |
2002-05-27 |
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 |
| 2002-04-05 |
2002-05-10 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2002-04-05 |
2002-05-01 |
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 |
| 2002-04-05 |
2002-05-28 |
Pharmacy Service Deficiencies |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-05 |
2002-05-10 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-05 |
2002-05-27 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Potential for minimal harm |
| 2002-04-05 |
2002-05-03 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| 2003-01-09 |
2003-02-17 |
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 |
| 2003-01-09 |
2003-02-17 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Pattern |
Potential for minimal harm |
| 2003-01-09 |
2003-02-11 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-01-09 |
2003-02-13 |
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 |
| 2003-01-09 |
2003-02-13 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-06 |
0000-00-00 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-06 |
0000-00-00 |
Resident Rights Deficiencies |
Provide enough notice before discharging or transferring a resident. |
Widespread |
Potential for minimal harm |
| 2003-11-06 |
0000-00-00 |
Resident Rights Deficiencies |
Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. |
Widespread |
Potential for minimal harm |
| 2003-11-06 |
0000-00-00 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-06 |
0000-00-00 |
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 |
| 2003-11-06 |
0000-00-00 |
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 |
| 2003-11-06 |
0000-00-00 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2003-11-06 |
0000-00-00 |
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 |
| 2003-11-06 |
0000-00-00 |
Resident Assessment Deficiencies |
Make sure that doctors visit residents regularly, as required. |
Pattern |
Potential for minimal harm |
| 2003-11-06 |
0000-00-00 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-06 |
0000-00-00 |
Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.