| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-11-30 |
2002-01-25 |
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 |
| 2001-11-30 |
2002-01-25 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Pattern |
Potential for minimal harm |
| 2001-11-30 |
2002-01-25 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-11-30 |
2002-01-25 |
Resident Rights Deficiencies |
Give enough notice to the resident before changing the resident's room or roommate. |
Pattern |
Potential for minimal harm |
| 2001-11-30 |
2002-01-25 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-30 |
2002-01-25 |
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 |
| 2001-11-30 |
2002-01-25 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-30 |
2002-01-25 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2001-11-30 |
2002-01-25 |
Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Actual harm |
| 2001-11-30 |
2002-01-25 |
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 |
| 2001-11-30 |
2002-01-25 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-30 |
2002-01-25 |
Environmental Deficiencies |
Provide enough emergency electricity. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-30 |
2002-01-25 |
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 |
| 2001-11-30 |
2002-01-25 |
Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-07 |
2002-12-02 |
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. |
Widespread |
Potential for minimal harm |
| 2002-10-07 |
2002-12-02 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| 2002-10-07 |
2002-12-02 |
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 |
| 2002-10-07 |
2002-12-02 |
Environmental Deficiencies |
Provide clean bed and bath linens that are in good condition. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-10-07 |
2002-12-02 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-07 |
2002-12-02 |
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 |
| 2002-10-07 |
2002-12-02 |
Pharmacy Service Deficiencies |
At least once a month, have a licensed pharmacist check the drugs that each resident takes. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-07 |
2002-12-02 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-10-07 |
2002-12-02 |
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 |
| 2002-10-07 |
2002-12-02 |
Environmental Deficiencies |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Widespread |
Potential for minimal harm |
| 2003-11-18 |
0000-00-00 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
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 |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
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 |
| 2003-11-18 |
0000-00-00 |
Pharmacy Service Deficiencies |
Make sure that residents who have not taken antipsychotic drugs are not given these drugs, unless they are used to treat a problem that is diagnosed and noted in the medical record. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Environmental Deficiencies |
Get rid of garbage properly. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Resident Assessment Deficiencies |
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Resident Assessment Deficiencies |
Make sure that doctors visit residents regularly, as required. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
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 |
| 2003-11-18 |
0000-00-00 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Environmental Deficiencies |
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
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 |
| 2003-11-18 |
0000-00-00 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-11-18 |
0000-00-00 |
Administration Deficiencies |
Give lab tests only when the attending doctor ordered them. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.