| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-02-08 |
2002-02-28 |
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. |
Widespread |
Potential for minimal harm |
| 2002-02-08 |
2002-03-22 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-08 |
2002-03-15 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-08 |
2002-05-10 |
Environmental Deficiencies |
Keep temperature levels comfortable and safe. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-08 |
2002-03-22 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2002-02-08 |
2002-05-10 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-02-08 |
2002-05-10 |
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 |
| 2002-02-08 |
2002-03-05 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-02-08 |
2002-03-05 |
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 |
| 2002-02-08 |
2002-03-04 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-02-08 |
2002-05-10 |
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 |
| 2002-02-08 |
2002-05-10 |
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 |
| 2003-02-06 |
2003-02-20 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-02-11 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2003-02-06 |
2003-02-10 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2003-02-06 |
2003-02-10 |
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 |
| 2003-02-06 |
2003-02-10 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-03 |
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 |
| 2003-02-06 |
2003-03-26 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2004-01-19 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2004-01-31 |
Administration Deficiencies |
Hire a qualified activities director. |
Widespread |
Potential for minimal harm |
| 2003-12-04 |
2004-01-23 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2003-12-08 |
Environmental Deficiencies |
Provide clean bed and bath linens that are in good condition. |
Pattern |
Potential for minimal harm |
| 2003-12-04 |
2004-01-19 |
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 |
| 2003-12-04 |
2004-01-30 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2004-01-19 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2004-01-19 |
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 |
| 2003-12-04 |
2004-01-19 |
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 |
| 2003-12-04 |
2004-01-19 |
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 |
| 2003-12-04 |
2004-01-19 |
Quality Care Deficiencies |
Use a registered nurse at least 8 hours a day, 7 days a week. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2004-01-20 |
Environmental Deficiencies |
Get rid of garbage properly. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2004-01-23 |
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 |
| 2003-12-04 |
2004-01-19 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2004-01-20 |
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 |
| 2003-12-04 |
2004-01-20 |
Environmental Deficiencies |
Have enough outside airflow. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2003-12-28 |
Environmental Deficiencies |
Put firmly secured handrails on each side of hallways. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2004-01-23 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-12-04 |
2004-01-20 |
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.