| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-01-28 |
2002-02-20 |
Resident Rights Deficiencies |
Let the resident or the resident's representative look at all records. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-02-20 |
Resident Rights Deficiencies |
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. |
Pattern |
Potential for minimal harm |
| 2002-01-28 |
2002-02-05 |
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 |
| 2002-01-28 |
2002-05-06 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-02-20 |
Resident Rights Deficiencies |
Try to resolve each resident's complaints quickly. |
Widespread |
Potential for minimal harm |
| 2002-01-28 |
2002-05-06 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| 2002-01-28 |
2002-02-21 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-02-19 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-02-21 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Widespread |
Potential for minimal harm |
| 2002-01-28 |
2002-02-18 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-02-28 |
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. |
Widespread |
Potential for minimal harm |
| 2002-01-28 |
2002-03-01 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2002-01-28 |
2002-02-20 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Pattern |
Immediate jeopardy to resident health or safety |
| 2002-01-28 |
2002-02-19 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-03-01 |
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 |
| 2002-01-28 |
2002-03-20 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-02-21 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-05-06 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-02-20 |
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 |
| 2002-01-28 |
2002-02-19 |
Administration Deficiencies |
Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job. |
Widespread |
Potential for minimal harm |
| 2002-01-28 |
2002-02-19 |
Administration Deficiencies |
Get proof that a nurse aide has the training and skills that the State requires. |
Widespread |
Potential for minimal harm |
| 2002-01-28 |
2002-02-28 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-01-28 |
2002-03-05 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| 2002-01-28 |
2002-03-11 |
Administration Deficiencies |
Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. |
Widespread |
Potential for minimal harm |
| 2002-01-28 |
2002-05-06 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-10-24 |
2002-11-12 |
Resident Rights Deficiencies |
Let the resident refuse treatment or refuse to take part in an experiment. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-24 |
2002-10-31 |
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 |
| 2002-10-24 |
2002-10-26 |
Resident Rights Deficiencies |
Send and promptly deliver unopened mail to residents. |
Pattern |
Potential for minimal harm |
| 2002-10-24 |
2002-10-31 |
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 |
Immediate jeopardy to resident health or safety |
| 2002-10-24 |
2002-10-31 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Pattern |
Immediate jeopardy to resident health or safety |
| 2002-10-24 |
2002-10-31 |
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 |
| 2002-10-24 |
2002-10-31 |
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 |
| 2002-10-24 |
2002-10-25 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Widespread |
Potential for minimal harm |
| 2002-10-24 |
2002-10-25 |
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. |
Widespread |
Potential for minimal harm |
| 2003-10-08 |
2003-10-10 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-10-08 |
2003-10-10 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-10-08 |
2003-10-10 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-10-08 |
2003-10-13 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.