| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-02-07 |
2003-03-14 |
Resident Rights Deficiencies |
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 |
Actual harm |
| 2003-02-07 |
2003-03-14 |
Resident Rights Deficiencies |
Try to resolve each resident's complaints quickly. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| 2003-02-07 |
2003-03-14 |
Resident Rights Deficiencies |
Have a private telephone available for use. |
Pattern |
Potential for minimal harm |
| 2003-02-07 |
2003-03-14 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
Mistreatment Deficiencies |
Keep each resident free from drugs that restrain them, unless needed for medical treatment. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
Mistreatment Deficiencies |
Protect each resident from all abuse, physical punishment, and being separated from others. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
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 |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Actual harm |
| 2003-02-07 |
2003-03-14 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
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 |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
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 |
| 2003-02-07 |
2003-03-14 |
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 |
| 2003-02-07 |
2003-03-14 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| 2003-02-07 |
2003-03-14 |
Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Actual harm |
| 2003-02-07 |
2003-03-14 |
Quality Care Deficiencies |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Quality Care Deficiencies |
Give or get special rehabilitation if in the patient's plan of care. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Pharmacy Service Deficiencies |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Pharmacy Service Deficiencies |
Properly mark drugs and other similar products. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Environmental Deficiencies |
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 |
| 2003-02-07 |
2003-03-14 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Environmental Deficiencies |
Put firmly secured handrails on each side of hallways. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Environmental Deficiencies |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Widespread |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Widespread |
Immediate jeopardy to resident health or safety |
| 2003-02-07 |
2003-03-14 |
Administration Deficiencies |
Quickly tell the resident's doctor the results of lab tests. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Administration Deficiencies |
Give or get x-rays or tests only when the resident's doctor ordered them. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-07 |
2003-03-14 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Widespread |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.