| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-04-05 |
2001-06-01 |
Administration Deficiencies |
Hire a qualified activities director. |
Widespread |
Potential for minimal harm |
| 2001-04-05 |
2001-06-01 |
Resident Assessment Deficiencies |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-04-05 |
2001-06-01 |
Resident Assessment Deficiencies |
Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. |
Pattern |
Potential for minimal harm |
| 2001-04-05 |
2001-06-01 |
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 |
| 2001-04-05 |
2001-06-25 |
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 |
| 2001-04-05 |
2001-06-01 |
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 |
| 2001-04-05 |
2001-06-01 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-04-05 |
2001-06-01 |
Pharmacy Service Deficiencies |
Properly mark drugs and other similar products. |
Pattern |
Potential for minimal harm |
| 2001-04-05 |
2001-06-01 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-07 |
2002-07-18 |
Resident Rights Deficiencies |
Provide care for each resident in a way that keeps or builds the resident's quality of life. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-06-07 |
2002-06-28 |
Resident Assessment Deficiencies |
Do a new assessment after any major change in a resident's physical or mental health. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-07 |
2002-06-28 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-07 |
2002-06-28 |
Resident Assessment Deficiencies |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-07 |
2002-07-18 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-07 |
2002-07-18 |
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 |
| 2002-06-07 |
2002-06-28 |
Nutrition and Dietary Deficiencies |
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-06-07 |
2002-06-28 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-06-09 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-06-09 |
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 |
| 2003-05-01 |
2003-06-09 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-06-09 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2003-05-01 |
2003-06-09 |
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 |
| 2003-05-01 |
2003-06-09 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-06-09 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-06-09 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.