| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2000-10-12 |
2000-11-27 |
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 |
| 2000-10-12 |
2000-11-27 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2001-01-05 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
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 |
| 2000-10-12 |
2000-11-27 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
Environmental Deficiencies |
Keep temperature levels comfortable and safe. |
Pattern |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2001-02-19 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Potential for minimal harm |
| 2000-10-12 |
2000-11-27 |
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 |
| 2000-10-12 |
2001-02-19 |
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 |
| 2000-10-12 |
2000-11-27 |
Quality Care Deficiencies |
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
Pattern |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2001-02-19 |
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 |
| 2000-10-12 |
2000-11-27 |
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 |
Actual harm |
| 2000-10-12 |
2000-11-27 |
Quality Care Deficiencies |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Pattern |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Pattern |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
Pharmacy Service Deficiencies |
Properly mark drugs and other similar products. |
Isolated |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
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 |
| 2000-10-12 |
2000-11-27 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Isolated |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
Environmental Deficiencies |
Have enough outside airflow. |
Pattern |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
Environmental Deficiencies |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Pattern |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
Administration Deficiencies |
Get services outside the nursing home that meet professional standards. |
Isolated |
Minimal harm or potential for actual harm |
| 2000-10-12 |
2000-11-27 |
Administration Deficiencies |
Train all employees on what to do in an emergency. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-11 |
Resident Rights Deficiencies |
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. |
Pattern |
Potential for minimal harm |
| 2001-08-30 |
2001-10-18 |
Resident Rights Deficiencies |
Have a private telephone available for use. |
Pattern |
Potential for minimal harm |
| 2001-08-30 |
2001-10-18 |
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 |
| 2001-08-30 |
2001-10-18 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-15 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-15 |
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 |
| 2001-08-30 |
2001-10-15 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Potential for minimal harm |
| 2001-08-30 |
2001-10-15 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-15 |
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. |
Pattern |
Potential for minimal harm |
| 2001-08-30 |
2001-10-15 |
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 |
Potential for minimal harm |
| 2001-08-30 |
2001-10-15 |
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 |
| 2001-08-30 |
2001-10-15 |
Quality Care Deficiencies |
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-15 |
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 |
| 2001-08-30 |
2001-10-15 |
Quality Care Deficiencies |
Make sure that each resident gets help to keep vision and hearing. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-15 |
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 |
| 2001-08-30 |
2001-10-15 |
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 |
| 2001-08-30 |
2001-11-23 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-15 |
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 |
| 2001-08-30 |
2001-11-23 |
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 |
| 2001-08-30 |
2001-10-15 |
Quality Care Deficiencies |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-01 |
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 |
| 2001-08-30 |
2001-10-01 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-01 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-11-16 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-15 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-30 |
2001-10-15 |
Environmental Deficiencies |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-09-25 |
2002-11-20 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-09-25 |
2002-11-20 |
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 |
| 2002-09-25 |
2002-11-20 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2002-09-25 |
2002-11-20 |
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 |
| 2002-09-25 |
2002-11-20 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-09-25 |
2002-11-20 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.