| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-04-11 |
2002-04-26 |
Resident Rights Deficiencies |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
Widespread |
Potential for minimal harm |
| 2002-04-11 |
2002-04-26 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| 2002-04-11 |
2002-04-26 |
Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2002-04-11 |
2002-04-26 |
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. |
Isolated |
Actual harm |
| 2002-04-11 |
2002-04-26 |
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 |
| 2002-04-11 |
2002-04-26 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Potential for minimal harm |
| 2002-04-11 |
2002-04-26 |
Environmental Deficiencies |
Keep adequate and comfortable lighting in all areas. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
Environmental Deficiencies |
Keep sound levels comfortable. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2002-04-11 |
2002-04-26 |
Resident Assessment Deficiencies |
Do a new assessment after any major change in a resident's physical or mental health. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
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 |
Immediate jeopardy to resident health or safety |
| 2002-04-11 |
2002-04-26 |
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 |
| 2002-04-11 |
2002-04-26 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2002-04-11 |
2002-04-26 |
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 |
| 2002-04-11 |
2002-04-26 |
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 |
| 2002-04-11 |
2002-04-26 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2002-04-11 |
2002-04-26 |
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 |
| 2002-04-11 |
2002-04-26 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
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 |
| 2002-04-11 |
2002-04-26 |
Quality Care Deficiencies |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2002-04-11 |
2002-04-26 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
Nutrition and Dietary Deficiencies |
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-11 |
2002-04-26 |
Environmental Deficiencies |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Widespread |
Potential for minimal harm |
| 2002-04-11 |
2002-04-26 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2002-04-11 |
2002-04-26 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-09 |
2002-12-06 |
Resident Rights Deficiencies |
Try to resolve each resident's complaints quickly. |
Pattern |
Potential for minimal harm |
| 2002-10-09 |
2002-12-06 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-09 |
2002-12-06 |
Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-09 |
2003-01-10 |
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 |
| 2002-10-09 |
2002-12-06 |
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 |
| 2002-10-09 |
2003-01-10 |
Quality Care Deficiencies |
Give each resident a special diet to help when there is a nutritional problem. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-09 |
2003-02-14 |
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 |
| 2002-10-09 |
2002-12-06 |
Resident Assessment Deficiencies |
Make sure that doctors visit residents regularly, as required. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-09 |
2002-12-06 |
Resident Assessment Deficiencies |
Make sure that all needed doctor visits are made personally by a doctor, as required. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-10-09 |
2002-12-06 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2004-01-23 |
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 |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2004-01-23 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Pattern |
Potential for minimal harm |
| 2003-08-21 |
2003-11-19 |
Resident Rights Deficiencies |
Send and promptly deliver unopened mail to residents. |
Widespread |
Potential for minimal harm |
| 2003-08-21 |
2004-01-23 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-09-05 |
Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Pattern |
Immediate jeopardy to resident health or safety |
| 2003-08-21 |
2003-11-19 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Potential for minimal harm |
| 2003-08-21 |
2003-11-19 |
Environmental Deficiencies |
Provide clean bed and bath linens that are in good condition. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
Environmental Deficiencies |
Keep sound levels comfortable. |
Pattern |
Potential for minimal harm |
| 2003-08-21 |
2003-09-05 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Immediate jeopardy to resident health or safety |
| 2003-08-21 |
2003-11-19 |
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 |
| 2003-08-21 |
2004-01-23 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2004-01-23 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2004-01-23 |
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 |
| 2003-08-21 |
2004-01-23 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Pattern |
Immediate jeopardy to resident health or safety |
| 2003-08-21 |
2004-01-23 |
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. |
Pattern |
Actual harm |
| 2003-08-21 |
2003-11-19 |
Quality Care Deficiencies |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
Pattern |
Potential for minimal harm |
| 2003-08-21 |
2003-11-19 |
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 |
| 2003-08-21 |
2003-09-05 |
Quality Care Deficiencies |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Pattern |
Immediate jeopardy to resident health or safety |
| 2003-08-21 |
2003-11-19 |
Nutrition and Dietary Deficiencies |
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. |
Widespread |
Potential for minimal harm |
| 2003-08-21 |
2003-11-19 |
Quality Care Deficiencies |
Give or get special rehabilitation if in the patient's plan of care. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
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 |
| 2003-08-21 |
2004-01-23 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
Environmental Deficiencies |
Keep a resident apart from the others if the resident has an infection that can spread. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
Environmental Deficiencies |
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-09-05 |
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 |
| 2003-08-21 |
2003-11-19 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Actual harm |
| 2003-08-21 |
2003-11-19 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-21 |
2003-11-19 |
Administration Deficiencies |
Have a detailed, written plan for disasters and emergencies. |
Widespread |
Potential for minimal harm |
| 2003-08-21 |
2003-11-19 |
Administration Deficiencies |
Train all employees on what to do in an emergency. |
Widespread |
Potential for minimal harm |
| 2003-08-21 |
2003-09-05 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Pattern |
Immediate jeopardy to resident health or safety |
*** All violations listed are based on federal government records.