| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-08-01 |
2001-10-01 |
Resident Rights Deficiencies |
Quickly give a resident's personal money to the heads of his or her estate after the resident's death. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-01 |
2001-10-01 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-08-01 |
2001-09-07 |
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 |
| 2001-08-01 |
2001-10-01 |
Quality Care Deficiencies |
Use a registered nurse at least 8 hours a day, 7 days a week. |
Widespread |
Potential for minimal harm |
| 2001-08-01 |
2001-10-01 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2002-08-27 |
2002-10-30 |
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 |
| 2002-08-27 |
2002-10-30 |
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 |
| 2002-08-27 |
2002-10-30 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Actual harm |
| 2002-08-27 |
2002-10-30 |
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. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
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 |
| 2002-08-27 |
2002-10-30 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2002-08-27 |
2002-10-30 |
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 |
| 2002-08-27 |
2002-10-30 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
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. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
Pharmacy Service Deficiencies |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-08-27 |
2002-10-30 |
Administration Deficiencies |
Choose a doctor to be the medical director. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-05-28 |
2003-07-27 |
Resident Rights Deficiencies |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
Widespread |
Potential for minimal harm |
| 2003-05-28 |
2003-07-27 |
Pharmacy Service Deficiencies |
Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-28 |
2003-07-27 |
Nutrition and Dietary Deficiencies |
Offer other nutritional food to each resident who will not eat the food served. |
Widespread |
Potential for minimal harm |
| 2003-05-28 |
2003-07-27 |
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 |
| 2003-05-28 |
2003-07-27 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-28 |
2003-07-27 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.