| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-10-19 |
2001-11-30 |
Resident Rights Deficiencies |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
Pattern |
Potential for minimal harm |
| 2001-10-19 |
2001-11-30 |
Mistreatment Deficiencies |
Protect each resident from all abuse, physical punishment, and being separated from others. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-10-19 |
2001-11-30 |
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 |
| 2001-10-19 |
2001-11-30 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-10-19 |
2001-11-30 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-10-19 |
2001-11-30 |
Resident Assessment Deficiencies |
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. |
Pattern |
Potential for minimal harm |
| 2001-10-19 |
2001-11-30 |
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 |
| 2001-10-19 |
2001-11-30 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Pattern |
Actual harm |
| 2001-10-19 |
2001-11-30 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2001-10-19 |
2001-11-30 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-10-19 |
2001-11-30 |
Quality Care Deficiencies |
Use a registered nurse at least 8 hours a day, 7 days a week. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-10-19 |
2001-11-30 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-10-19 |
2001-11-30 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-10-19 |
2001-11-30 |
Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Pattern |
Potential for minimal harm |
| 2001-10-19 |
2001-11-30 |
Administration Deficiencies |
Set up or keep a group of people to review and ensure quality. |
Pattern |
Potential for minimal harm |
| 2002-09-13 |
2002-11-03 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Potential for minimal harm |
| 2002-09-13 |
2002-11-03 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| 2002-09-13 |
2002-11-03 |
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 |
| 2002-09-13 |
2002-11-03 |
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 |
| 2002-09-13 |
2002-11-03 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-13 |
2002-11-03 |
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 |
| 2002-09-13 |
2002-11-03 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Pattern |
Potential for minimal harm |
| 2002-09-13 |
2002-11-03 |
Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-22 |
2003-10-01 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-22 |
2003-10-01 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-22 |
2003-10-01 |
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 |
| 2003-08-22 |
2003-10-01 |
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 |
| 2003-08-22 |
2003-10-01 |
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 |
| 2003-08-22 |
2003-10-01 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.