| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-04-12 |
2001-05-28 |
Resident Rights Deficiencies |
Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. |
Isolated |
Actual harm |
| 2001-04-12 |
2001-05-28 |
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. |
Pattern |
Potential for minimal harm |
| 2001-04-12 |
2001-05-28 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-04-12 |
2001-05-28 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Potential for minimal harm |
| 2001-04-12 |
2001-05-28 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Pattern |
Potential for minimal harm |
| 2001-04-12 |
2001-05-28 |
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 |
| 2001-04-12 |
2001-05-28 |
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 |
| 2001-04-12 |
2001-05-28 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Pattern |
Actual harm |
| 2001-04-12 |
2001-05-28 |
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 |
Minimal harm or potential for actual harm |
| 2001-04-12 |
2001-05-28 |
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 |
| 2001-04-12 |
2001-05-28 |
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 |
| 2001-04-12 |
2001-05-28 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-04-12 |
0000-00-00 |
Environmental Deficiencies |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
| 2001-04-12 |
2001-05-28 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Isolated |
Actual harm |
| 2001-04-12 |
2001-05-28 |
Administration Deficiencies |
Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-04-04 |
2002-05-10 |
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 |
| 2002-04-04 |
2002-05-10 |
Administration Deficiencies |
Hire a qualified activities director. |
Widespread |
Potential for minimal harm |
| 2002-04-04 |
2002-05-10 |
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 |
| 2002-04-04 |
2002-05-10 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2002-04-04 |
2002-05-10 |
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 |
| 2002-04-04 |
2002-05-10 |
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 |
| 2002-04-04 |
2002-05-10 |
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 |
| 2002-04-04 |
2002-05-10 |
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 |
Potential for minimal harm |
| 2002-04-04 |
2002-05-10 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2002-04-04 |
2002-05-10 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-04 |
2002-05-10 |
Environmental Deficiencies |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
| 2002-04-04 |
2002-05-10 |
Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Widespread |
Potential for minimal harm |
| 2002-04-04 |
2002-05-10 |
Administration Deficiencies |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-04 |
2002-05-10 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| 2003-03-05 |
2003-04-10 |
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 |
| 2003-03-05 |
2003-04-10 |
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 |
| 2003-03-05 |
2003-04-10 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-03-05 |
2003-04-10 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-03-05 |
2003-05-02 |
Environmental Deficiencies |
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. |
Widespread |
Potential for minimal harm |
| 2003-03-05 |
2003-04-10 |
Environmental Deficiencies |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.