| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-11-14 |
2003-01-21 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-11-14 |
2003-01-21 |
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 |
| 2003-05-08 |
2003-07-28 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-08 |
2003-07-28 |
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 |
| 2003-05-08 |
2003-07-28 |
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 |
| 2003-05-08 |
2003-07-28 |
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 |
| 2003-05-08 |
2003-07-28 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2003-05-08 |
2003-07-28 |
Quality Care Deficiencies |
Give each resident a special diet to help when there is a nutritional problem. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-08 |
2003-07-28 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-08 |
2003-07-28 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-05-08 |
2003-07-28 |
Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
Widespread |
Potential for minimal harm |
| 2003-05-08 |
2003-07-28 |
Administration Deficiencies |
Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-08 |
2003-07-28 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Resident Assessment Deficiencies |
Keep assessments completed in the preceding 15 months in the resident's active record. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
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 |
| 2003-11-06 |
2004-01-07 |
Nutrition and Dietary Deficiencies |
Hire a qualified dietician. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Quality Care Deficiencies |
Give or get special rehabilitation if in the patient's plan of care. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Pharmacy Service Deficiencies |
Properly mark drugs and other similar products. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Administration Deficiencies |
Give lab tests only when the attending doctor ordered them. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-06 |
2004-01-07 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Widespread |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.