| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-09-20 |
2001-11-15 |
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 |
| 2001-09-20 |
2001-11-15 |
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 |
| 2001-09-20 |
2001-11-15 |
Administration Deficiencies |
1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-09-20 |
2001-11-15 |
Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-11-07 |
2003-01-03 |
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 |
| 2002-11-07 |
2003-01-03 |
Resident Assessment Deficiencies |
Keep assessments completed in the preceding 15 months in the resident's active record. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-11-21 |
2004-01-15 |
Resident Rights Deficiencies |
Tell the resident completely about his or her health status. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-21 |
2004-01-14 |
Resident Rights Deficiencies |
Try to resolve each resident's complaints quickly. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-21 |
2003-12-15 |
Resident Rights Deficiencies |
Provide enough notice before discharging or transferring a resident. |
Pattern |
Potential for minimal harm |
| 2003-11-21 |
2004-01-14 |
Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Potential for minimal harm |
| 2003-11-21 |
2004-01-15 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-21 |
2004-01-10 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-21 |
2004-01-12 |
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 |
| 2003-11-21 |
2004-01-21 |
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 |
| 2003-11-21 |
2003-12-30 |
Pharmacy Service Deficiencies |
Make sure that residents who have not taken antipsychotic drugs are not given these drugs, unless they are used to treat a problem that is diagnosed and noted in the medical record. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-21 |
2004-01-21 |
Pharmacy Service Deficiencies |
Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-21 |
2004-01-15 |
Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-21 |
2003-12-30 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.