| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-02-06 |
2001-04-06 |
Resident Assessment Deficiencies |
Do a new assessment after any major change in a resident's physical or mental health. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-04-06 |
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 |
| 2001-02-06 |
2001-04-03 |
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 |
| 2001-02-06 |
2001-04-06 |
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 |
Actual harm |
| 2001-02-06 |
2001-04-06 |
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 |
| 2001-02-06 |
2001-04-06 |
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 |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-04-06 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-04-06 |
Environmental Deficiencies |
Get rid of garbage properly. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-03-27 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-04-06 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-03-27 |
Administration Deficiencies |
Give or get lab tests to meet the needs of residents. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-04-06 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-21 |
2002-05-20 |
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 |
| 2002-03-21 |
2002-05-20 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-21 |
2002-05-20 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-28 |
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 |
Actual harm |
| 2003-04-10 |
2003-05-28 |
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 |
| 2003-04-10 |
2003-05-28 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Potential for minimal harm |
| 2003-04-10 |
2003-05-28 |
Environmental Deficiencies |
Keep temperature levels comfortable and safe. |
Pattern |
Potential for minimal harm |
| 2003-04-10 |
2003-05-28 |
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 |
| 2003-04-10 |
2003-05-28 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2003-04-10 |
2003-05-28 |
Quality Care Deficiencies |
Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. |
Isolated |
Actual harm |
| 2003-04-10 |
2003-05-28 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Pattern |
Actual harm |
| 2003-04-10 |
2003-05-28 |
Quality Care Deficiencies |
Give each resident a special diet to help when there is a nutritional problem. |
Pattern |
Actual harm |
| 2003-04-10 |
2003-05-28 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-28 |
Environmental Deficiencies |
Get rid of garbage properly. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-28 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-28 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-28 |
Environmental Deficiencies |
Provide bedrooms that don't allow residents to see each other when privacy is needed. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-28 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Pattern |
Actual harm |
| 2003-04-10 |
2003-05-28 |
Administration Deficiencies |
Get proof that a nurse aide has the training and skills that the State requires. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-28 |
Administration Deficiencies |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-28 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Widespread |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.