| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-07-03 |
2002-10-16 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Widespread |
Potential for minimal harm |
| 2002-07-03 |
2002-10-16 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Widespread |
Potential for minimal harm |
| 2002-07-03 |
2002-10-16 |
Environmental Deficiencies |
Keep adequate and comfortable lighting in all areas. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
Resident Assessment Deficiencies |
Assess the resident when the resident enters the nursing home, in a timely manner. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
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 |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2003-01-22 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
Resident Assessment Deficiencies |
Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. |
Widespread |
Potential for minimal harm |
| 2002-07-03 |
2002-10-16 |
Quality Care Deficiencies |
Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
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 |
| 2002-07-03 |
2002-10-16 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
Resident Assessment Deficiencies |
Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2003-01-22 |
Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2002-10-16 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-07-03 |
2003-01-22 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Widespread |
Potential for minimal harm |
| 2002-07-03 |
2002-10-16 |
Environmental Deficiencies |
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. |
Pattern |
Potential for minimal harm |
| 2002-07-03 |
2002-10-16 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Widespread |
Potential for minimal harm |
| 2003-06-06 |
2003-08-30 |
Resident Rights Deficiencies |
Let each resident choose a personal doctor. |
Widespread |
Potential for minimal harm |
| 2003-06-06 |
2003-08-30 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Pattern |
Potential for minimal harm |
| 2003-06-06 |
2003-08-30 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Widespread |
Potential for minimal harm |
| 2003-06-06 |
2003-08-30 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-06-06 |
2003-08-30 |
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 |
| 2003-06-06 |
2003-08-30 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-06-06 |
2003-08-30 |
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 |
| 2003-06-06 |
2003-08-30 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Pattern |
Potential for minimal harm |
| 2003-06-06 |
2003-08-30 |
Environmental Deficiencies |
Provide bedrooms that don't allow residents to see each other when privacy is needed. |
Widespread |
Potential for minimal harm |
| 2003-06-06 |
2003-08-30 |
Environmental Deficiencies |
Put firmly secured handrails on each side of hallways. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.