| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-02-06 |
2001-03-08 |
Resident Rights Deficiencies |
Provide enough notice before discharging or transferring a resident. |
Pattern |
Potential for minimal harm |
| 2001-02-06 |
2001-03-01 |
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 |
| 2001-02-06 |
2001-03-01 |
Environmental Deficiencies |
Provide clean bed and bath linens that are in good condition. |
Pattern |
Potential for minimal harm |
| 2001-02-06 |
2001-03-01 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-03-01 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2001-02-06 |
2001-03-01 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-03-01 |
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 |
| 2001-02-06 |
2001-03-06 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-03-01 |
Environmental Deficiencies |
Get rid of garbage properly. |
Pattern |
Potential for minimal harm |
| 2001-02-06 |
2001-03-01 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-02-28 |
Environmental Deficiencies |
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-03-06 |
Environmental Deficiencies |
Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-02-06 |
2001-03-06 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Potential for minimal harm |
| 2001-02-06 |
2001-03-06 |
Environmental Deficiencies |
Put firmly secured handrails on each side of hallways. |
Pattern |
Potential for minimal harm |
| 2001-02-06 |
2001-03-06 |
Administration Deficiencies |
Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. |
Pattern |
Potential for minimal harm |
| 2002-02-28 |
2002-03-27 |
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 |
| 2002-02-28 |
2002-03-27 |
Resident Rights Deficiencies |
Send and promptly deliver unopened mail to residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
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 |
| 2002-02-28 |
2002-03-27 |
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 |
| 2002-02-28 |
2002-03-27 |
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 |
| 2002-02-28 |
2002-03-27 |
Environmental Deficiencies |
Provide clean bed and bath linens that are in good condition. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
Quality Care Deficiencies |
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
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 |
| 2002-02-28 |
2002-03-27 |
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 |
| 2002-02-28 |
2002-03-27 |
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 |
| 2002-02-28 |
2002-03-27 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
Pharmacy Service Deficiencies |
Properly mark drugs and other similar products. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
Environmental Deficiencies |
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. |
Pattern |
Potential for minimal harm |
| 2002-02-28 |
2002-03-27 |
Environmental Deficiencies |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-02-28 |
2002-03-27 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| 2002-12-10 |
2003-01-17 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-12-10 |
2003-01-17 |
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 |
| 2002-12-10 |
2003-01-17 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2002-12-10 |
2003-01-24 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-12-10 |
2003-01-30 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-12-10 |
2003-01-24 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.