| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-03-01 |
2001-03-23 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-01 |
2001-03-23 |
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 |
| 2001-03-01 |
2001-03-23 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-03-01 |
2001-03-19 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Pattern |
Potential for minimal harm |
| 2001-03-01 |
2001-03-23 |
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 |
| 2001-03-01 |
2001-03-23 |
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 |
| 2001-03-01 |
2001-03-23 |
Resident Assessment Deficiencies |
Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. |
Pattern |
Potential for minimal harm |
| 2001-03-01 |
2001-03-23 |
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 |
| 2001-03-01 |
2001-03-23 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-01 |
2001-03-23 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-01 |
2001-03-23 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-03-01 |
2001-03-23 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-01 |
2001-03-23 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-01 |
2001-03-23 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-01 |
2001-03-23 |
Administration Deficiencies |
Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-01 |
2001-03-23 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
Resident Rights Deficiencies |
Try to resolve each resident's complaints quickly. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
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 |
| 2002-04-18 |
2002-05-08 |
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 |
| 2002-04-18 |
2002-05-08 |
Resident Rights Deficiencies |
Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
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 |
| 2002-04-18 |
2002-05-08 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
Environmental Deficiencies |
Keep adequate and comfortable lighting in all areas. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
Environmental Deficiencies |
Keep sound levels comfortable. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2002-04-18 |
2002-05-08 |
Quality Care Deficiencies |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
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 |
| 2002-04-18 |
2002-05-08 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
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 |
| 2002-04-18 |
2002-05-08 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-05-08 |
Administration Deficiencies |
Give lab tests only when the attending doctor ordered them. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-07 |
2003-05-30 |
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 |
| 2003-05-07 |
2003-05-30 |
Resident Rights Deficiencies |
Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-07 |
2003-05-30 |
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 |
| 2003-05-07 |
2003-05-30 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| 2003-05-07 |
2003-05-30 |
Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-07 |
2003-05-30 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-07 |
2003-05-30 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-07 |
2003-05-30 |
Pharmacy Service Deficiencies |
Properly mark drugs and other similar products. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-07 |
2003-05-30 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-07 |
2003-05-30 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.