| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-03-27 |
2002-04-16 |
Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-22 |
Resident Rights Deficiencies |
Listen to the resident or family groups or act on their complaints or suggestions. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-22 |
Quality Care Deficiencies |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-22 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-22 |
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 |
| 2002-03-27 |
2002-05-22 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-22 |
Environmental Deficiencies |
Get rid of garbage properly. |
Widespread |
Potential for minimal harm |
| 2002-03-27 |
2002-05-22 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-22 |
Pharmacy Service Deficiencies |
Properly mark drugs and other similar products. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-22 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-22 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-22 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Isolated |
Actual harm |
| 2002-09-18 |
2002-10-22 |
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 |
| 2002-09-18 |
2002-10-22 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-18 |
2002-10-22 |
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 |
| 2002-09-18 |
2002-10-22 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-18 |
2002-10-22 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-18 |
2002-10-22 |
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 |
| 2002-09-18 |
2002-10-22 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-09-18 |
2002-10-22 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-09-18 |
2002-10-22 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-18 |
2002-10-22 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Resident Rights Deficiencies |
Tell the resident completely about his or her health status. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Resident Rights Deficiencies |
Try to resolve each resident's complaints quickly. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
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 |
| 2003-07-31 |
2003-09-04 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Resident Assessment Deficiencies |
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Resident Assessment Deficiencies |
Develop a plan with the resident and family for the resident's care after leaving the nursing home. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
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 |
| 2003-07-31 |
2003-09-04 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
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 |
| 2003-07-31 |
2003-09-04 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-07-31 |
2003-09-04 |
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.