| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-11-02 |
2001-12-28 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-02 |
2001-12-28 |
Quality Care Deficiencies |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-02 |
2001-12-28 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-11-02 |
2001-12-28 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-11-02 |
2001-12-28 |
Quality Care Deficiencies |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-02 |
2001-12-28 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2001-11-02 |
2001-12-28 |
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 |
| 2001-11-02 |
2001-12-28 |
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 |
| 2001-11-02 |
2001-12-28 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-11-02 |
2001-12-28 |
Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-10-18 |
2002-11-24 |
Resident Rights Deficiencies |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
Pattern |
Potential for minimal harm |
| 2002-10-18 |
2002-11-24 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-10-18 |
2002-11-24 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-18 |
2002-11-24 |
Nutrition and Dietary Deficiencies |
Hire enough skilled workers to carry out dietary service. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-10-18 |
2002-11-24 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-10-18 |
2002-11-24 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Immediate jeopardy to resident health or safety |
| 2003-09-26 |
2003-11-04 |
Resident Rights Deficiencies |
Send and promptly deliver unopened mail to residents. |
Pattern |
Potential for minimal harm |
| 2003-09-26 |
2003-11-04 |
Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Actual harm |
| 2003-09-26 |
2003-11-04 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| 2003-09-26 |
2003-11-04 |
Environmental Deficiencies |
Provide clean bed and bath linens that are in good condition. |
Pattern |
Potential for minimal harm |
| 2003-09-26 |
2003-11-04 |
Resident Assessment Deficiencies |
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-09-26 |
2003-11-04 |
Quality Care Deficiencies |
Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-09-26 |
2003-11-04 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-09-26 |
2003-11-04 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2003-09-26 |
2003-11-04 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-09-26 |
2003-11-04 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.