| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-08-08 |
2001-12-13 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Potential for minimal harm |
| 2001-08-08 |
2001-12-13 |
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 |
| 2001-08-08 |
2001-12-13 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-08-08 |
2001-12-13 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-08 |
2001-12-13 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2001-08-08 |
2001-12-13 |
Environmental Deficiencies |
Get rid of garbage properly. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-08 |
2001-12-13 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Pattern |
Potential for minimal harm |
| 2001-08-08 |
2001-12-13 |
Environmental Deficiencies |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-08-29 |
2002-11-18 |
Resident Rights Deficiencies |
Provide enough notice before discharging or transferring a resident. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-08-29 |
2002-11-18 |
Resident Assessment Deficiencies |
Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. |
Widespread |
Potential for minimal harm |
| 2002-08-29 |
2002-11-18 |
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 |
| 2002-08-29 |
2002-11-18 |
Nutrition and Dietary Deficiencies |
Hire a qualified dietician. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-08-29 |
2002-12-13 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2002-08-29 |
2002-11-18 |
Quality Care Deficiencies |
Give or get special rehabilitation if in the patient's plan of care. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-29 |
2002-11-18 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-29 |
2002-11-18 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-08-29 |
2002-12-13 |
Environmental Deficiencies |
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. |
Widespread |
Potential for minimal harm |
| 2002-08-29 |
2002-12-13 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Widespread |
Potential for minimal harm |
| 2002-08-29 |
2002-11-18 |
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. |
Widespread |
Potential for minimal harm |
| 2002-08-29 |
2002-11-18 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| 2002-08-29 |
2002-11-18 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Widespread |
Potential for minimal harm |
| 2003-05-08 |
2003-06-26 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-08 |
2003-06-26 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Widespread |
Potential for minimal harm |
| 2003-05-08 |
2003-06-26 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Potential for minimal harm |
| 2003-05-08 |
2003-06-26 |
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 |
| 2003-05-08 |
2003-06-26 |
Nutrition and Dietary Deficiencies |
Provide food in a way that meets a resident's needs. |
Widespread |
Potential for minimal harm |
| 2003-05-08 |
2003-06-26 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2003-05-08 |
2003-06-26 |
Environmental Deficiencies |
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. |
Pattern |
Potential for minimal harm |
| 2003-05-08 |
2003-06-26 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Widespread |
Potential for minimal harm |
| 2003-05-08 |
2003-06-26 |
Environmental Deficiencies |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.