| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-01-12 |
2001-02-12 |
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 |
| 2001-01-12 |
2001-02-09 |
Mistreatment Deficiencies |
Protect each resident from all abuse, physical punishment, and being separated from others. |
Isolated |
Actual harm |
| 2001-01-12 |
2001-02-12 |
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. |
Isolated |
Actual harm |
| 2001-01-12 |
2001-02-12 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-01-12 |
2001-02-12 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-01-12 |
2001-02-12 |
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 |
| 2001-01-12 |
2001-02-13 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Pattern |
Potential for minimal harm |
| 2001-01-12 |
2001-02-13 |
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 |
Actual harm |
| 2001-01-12 |
2001-02-13 |
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 |
| 2001-01-12 |
2001-02-13 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Pattern |
Actual harm |
| 2001-01-12 |
2001-02-12 |
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 |
| 2001-01-12 |
2001-02-12 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-01-12 |
2001-02-13 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| 2001-01-12 |
2001-02-13 |
Quality Care Deficiencies |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-01-12 |
2001-02-12 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-01-12 |
2001-01-31 |
Environmental Deficiencies |
Get rid of garbage properly. |
Widespread |
Potential for minimal harm |
| 2001-01-12 |
2001-02-12 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Potential for minimal harm |
| 2001-01-12 |
2001-02-13 |
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 |
| 2001-01-12 |
2001-02-13 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Pattern |
Actual harm |
| 2001-01-12 |
2001-02-13 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-01-12 |
2001-02-13 |
Administration Deficiencies |
Get services outside the nursing home that meet professional standards. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-03-20 |
2002-05-01 |
Administration Deficiencies |
Hire a qualified activities director. |
Widespread |
Potential for minimal harm |
| 2002-03-20 |
2002-05-01 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Widespread |
Potential for minimal harm |
| 2002-03-20 |
2002-05-01 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2002-03-20 |
2002-05-01 |
Environmental Deficiencies |
Provide enough emergency electricity. |
Widespread |
Potential for minimal harm |
| 2002-03-20 |
2002-05-01 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Widespread |
Potential for minimal harm |
| 2003-05-31 |
2003-06-30 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2003-05-31 |
2003-06-30 |
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 |
| 2003-05-31 |
2003-06-30 |
Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-31 |
2003-06-30 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-05-31 |
2003-06-30 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Widespread |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.