| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-07-18 |
2001-07-20 |
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 |
Actual harm |
| 2001-07-18 |
2001-07-20 |
Quality Care Deficiencies |
Give the right treatment and services to residents who have mental or social problems adjusting. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-07-18 |
2001-08-10 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| 2001-07-18 |
2001-09-30 |
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 |
| 2001-07-18 |
2001-12-07 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-07-18 |
2001-07-18 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-07-18 |
2001-07-20 |
Administration Deficiencies |
Quickly tell the resident's doctor the results of lab tests. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
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 |
| 2002-06-28 |
2002-08-02 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| 2002-06-28 |
2002-08-02 |
Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Widespread |
Potential for minimal harm |
| 2002-06-28 |
2002-09-19 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Potential for minimal harm |
| 2002-06-28 |
2002-08-02 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
Quality Care Deficiencies |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Pattern |
Actual harm |
| 2002-06-28 |
2002-09-19 |
Quality Care Deficiencies |
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-09-19 |
Quality Care Deficiencies |
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2002-06-28 |
2002-08-02 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| 2002-06-28 |
2002-08-02 |
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 |
| 2002-06-28 |
2002-08-02 |
Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-06-28 |
2002-08-02 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Pattern |
Immediate jeopardy to resident health or safety |
| 2002-06-28 |
2002-08-02 |
Environmental Deficiencies |
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. |
Widespread |
Potential for minimal harm |
| 2002-06-28 |
2002-08-02 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Potential for minimal harm |
| 2002-06-28 |
2002-08-02 |
Environmental Deficiencies |
Put firmly secured handrails on each side of hallways. |
Pattern |
Potential for minimal harm |
| 2002-06-28 |
2002-08-02 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Pattern |
Immediate jeopardy to resident health or safety |
| 2002-06-28 |
2002-08-02 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Actual harm |
| 2002-06-28 |
2002-08-02 |
Administration Deficiencies |
Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. |
Widespread |
Potential for minimal harm |
| 2002-06-28 |
2002-08-02 |
Administration Deficiencies |
Set up or keep a group of people to review and ensure quality. |
Pattern |
Immediate jeopardy to resident health or safety |
| 2002-06-28 |
2002-09-19 |
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 |
*** All violations listed are based on federal government records.