| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-07-16 |
2001-08-15 |
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 |
| 2001-07-16 |
2001-08-15 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-07-16 |
2001-08-15 |
Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2001-07-16 |
2001-08-15 |
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 |
| 2001-07-16 |
2001-08-15 |
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 |
Minimal harm or potential for actual harm |
| 2001-07-16 |
2001-08-15 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-07-16 |
2001-08-15 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Immediate jeopardy to resident health or safety |
| 2001-07-16 |
2001-08-15 |
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 |
| 2001-07-16 |
2001-08-15 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-07-16 |
2001-08-15 |
Quality Care Deficiencies |
Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-07-16 |
2001-08-15 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-07-16 |
2001-08-15 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Potential for minimal harm |
| 2001-07-16 |
2001-08-15 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-06-20 |
2002-07-20 |
Resident Rights Deficiencies |
Send and promptly deliver unopened mail to residents. |
Widespread |
Potential for minimal harm |
| 2002-06-20 |
2002-07-20 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-20 |
2002-07-20 |
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 |
| 2003-05-01 |
2003-05-31 |
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 |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-05-31 |
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 |
| 2003-05-01 |
2003-05-31 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Potential for minimal harm |
| 2003-05-01 |
2003-05-31 |
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 |
| 2003-05-01 |
2003-05-31 |
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 |
2003-05-31 |
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 |
| 2003-05-01 |
2003-05-31 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-05-31 |
Resident Assessment Deficiencies |
Keep assessments completed in the preceding 15 months in the resident's active record. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-05-31 |
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 |
2003-05-31 |
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 |
| 2003-05-01 |
2003-05-31 |
Quality Care Deficiencies |
Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-05-31 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-05-31 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2003-05-01 |
2003-05-31 |
Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-05-31 |
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 |
| 2003-05-01 |
2003-05-31 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-05-31 |
Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-05-01 |
2003-05-31 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Potential for minimal harm |
| 2003-05-01 |
2003-05-31 |
Administration Deficiencies |
Get proof that a nurse aide has the training and skills that the State requires. |
Widespread |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.