| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-10-23 |
2001-11-09 |
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. |
Pattern |
Potential for minimal harm |
| 2001-10-23 |
2001-11-09 |
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 |
Potential for minimal harm |
| 2001-10-23 |
2001-12-14 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Potential for minimal harm |
| 2002-09-18 |
2002-10-18 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Widespread |
Potential for minimal harm |
| 2002-09-18 |
2002-10-18 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Pattern |
Potential for minimal harm |
| 2002-09-18 |
2002-10-18 |
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. |
Pattern |
Potential for minimal harm |
| 2002-09-18 |
2002-10-18 |
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 |
| 2002-09-18 |
2002-09-19 |
Quality Care Deficiencies |
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-18 |
2002-09-19 |
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 |
| 2002-09-18 |
2002-10-18 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| 2003-07-30 |
2003-08-05 |
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 |
| 2003-07-30 |
2003-08-05 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-30 |
2003-08-10 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Widespread |
Potential for minimal harm |
| 2003-07-30 |
2003-08-05 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-30 |
2003-08-05 |
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 |
| 2003-07-30 |
2003-08-10 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-30 |
2003-08-05 |
Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Pattern |
Potential for minimal harm |
| 2003-07-30 |
2003-08-10 |
Quality Care Deficiencies |
Use a registered nurse at least 8 hours a day, 7 days a week. |
Widespread |
Potential for minimal harm |
| 2003-07-30 |
2003-08-05 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-30 |
2003-08-10 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.