| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-03-30 |
2001-05-18 |
Resident Rights Deficiencies |
Tell the resident completely about his or her health status. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-03-30 |
2001-05-18 |
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 |
| 2001-03-30 |
2001-05-18 |
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 |
| 2001-03-30 |
2001-05-18 |
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 |
| 2001-03-30 |
2001-05-18 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-26 |
2002-06-05 |
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 |
| 2002-04-26 |
2002-06-05 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-26 |
2002-06-05 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-26 |
2002-06-05 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Actual harm |
| 2002-04-26 |
2002-06-05 |
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 |
| 2002-04-26 |
2002-06-05 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Actual harm |
| 2002-04-26 |
2002-06-05 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2002-04-26 |
2002-06-05 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2002-04-26 |
2002-06-05 |
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 |
| 2003-06-05 |
2003-07-31 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-06-05 |
2003-07-31 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-06-05 |
2003-07-15 |
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 |
| 2003-06-05 |
2003-07-31 |
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 |
| 2003-06-05 |
2003-07-31 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-06-05 |
2003-07-15 |
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 |
| 2003-06-05 |
2003-07-31 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-06-05 |
2003-07-31 |
Pharmacy Service Deficiencies |
Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-06-05 |
2003-07-31 |
Environmental Deficiencies |
Have enough outside airflow. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.