| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-09-19 |
2001-09-20 |
Resident Rights Deficiencies |
Tell the resident completely about his or her health status. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-19 |
Resident Rights Deficiencies |
Let each resident choose a personal doctor. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-12 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-15 |
Resident Rights Deficiencies |
Let residents complain without being treated differently or badly. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-16 |
Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-15 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Pattern |
Potential for minimal harm |
| 2001-09-19 |
2001-10-15 |
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 |
| 2001-09-19 |
2001-10-22 |
Resident Rights Deficiencies |
Make sure that each resident has the right to join in social, religious, and community activities. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-09-21 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-17 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-09-21 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Widespread |
Potential for minimal harm |
| 2001-09-19 |
2001-10-22 |
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 |
| 2001-09-19 |
2001-09-25 |
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 |
| 2001-09-19 |
2001-10-22 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-12 |
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 |
| 2001-09-19 |
0000-00-00 |
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 |
| 2001-09-19 |
2001-10-17 |
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 |
| 2001-09-19 |
2001-10-19 |
Quality Care Deficiencies |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-01 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-01 |
Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-09-20 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-04 |
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 |
| 2001-09-19 |
0000-00-00 |
Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
0000-00-00 |
Nutrition and Dietary Deficiencies |
Hire a qualified dietician. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-11 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-22 |
Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-09-19 |
0000-00-00 |
Pharmacy Service Deficiencies |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-19 |
0000-00-00 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Widespread |
Potential for minimal harm |
| 2001-09-19 |
2001-10-24 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-09-19 |
2001-10-31 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Potential for minimal harm |
| 2001-09-19 |
0000-00-00 |
Environmental Deficiencies |
Have enough backup water supply for important areas of the nursing home. |
Widespread |
Potential for minimal harm |
| 2001-09-19 |
0000-00-00 |
Administration Deficiencies |
1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. |
Widespread |
Potential for minimal harm |
| 2001-09-19 |
2001-10-04 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Widespread |
Potential for minimal harm |
| 2001-09-19 |
2001-10-01 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Pattern |
Potential for minimal harm |
| 2002-08-09 |
2002-10-11 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Potential for minimal harm |
| 2002-08-09 |
2002-11-08 |
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 |
| 2002-08-09 |
2002-11-08 |
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 |
| 2002-08-09 |
2002-11-08 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-09 |
2002-10-11 |
Resident Assessment Deficiencies |
Keep assessments completed in the preceding 15 months in the resident's active record. |
Pattern |
Potential for minimal harm |
| 2002-08-09 |
2002-11-08 |
Quality Care Deficiencies |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-08-09 |
2002-11-08 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-09 |
2002-11-08 |
Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Actual harm |
| 2002-08-09 |
2002-10-11 |
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 |
| 2002-08-09 |
2002-10-11 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-09 |
2002-11-08 |
Administration Deficiencies |
Give or get lab tests to meet the needs of residents. |
Widespread |
Potential for minimal harm |
| 2002-08-09 |
2002-11-08 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Widespread |
Potential for minimal harm |
| 2002-08-09 |
2002-08-15 |
Administration Deficiencies |
Train all employees on what to do in an emergency. |
Pattern |
Potential for minimal harm |
| 2003-08-18 |
2003-08-27 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-18 |
2003-08-27 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Widespread |
Potential for minimal harm |
| 2003-08-18 |
2003-08-27 |
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 |
| 2003-08-18 |
2003-08-27 |
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 |
| 2003-08-18 |
2003-08-27 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-18 |
2003-08-27 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-18 |
2003-08-27 |
Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-18 |
2003-08-27 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-18 |
2003-08-27 |
Administration Deficiencies |
Train all employees on what to do in an emergency. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
