| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-06-22 |
2001-07-22 |
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 |
| 2001-06-22 |
2001-07-22 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Actual harm |
| 2001-06-22 |
2001-07-23 |
Mistreatment Deficiencies |
Keep each resident free from drugs that restrain them, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-06-22 |
2001-07-23 |
Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-06-22 |
2001-07-22 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Isolated |
Actual harm |
| 2001-06-22 |
2001-07-23 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-06-22 |
2001-07-23 |
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 |
| 2001-06-22 |
2001-07-23 |
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 |
| 2001-06-22 |
2001-07-22 |
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 |
| 2001-06-22 |
2001-07-23 |
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 |
| 2001-06-22 |
2001-07-23 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2001-06-22 |
2001-07-20 |
Quality Care Deficiencies |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
Isolated |
Actual harm |
| 2001-06-22 |
2001-07-21 |
Pharmacy Service Deficiencies |
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-06-22 |
2001-07-21 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-06-22 |
2001-07-20 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Pattern |
Potential for minimal harm |
| 2001-06-22 |
2001-07-30 |
Administration Deficiencies |
Quickly tell the resident's doctor the results of lab tests. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-06-22 |
2001-07-23 |
Administration Deficiencies |
Quickly tell the resident's doctor the results of x-rays and other tests. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-03 |
2002-10-04 |
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 |
| 2002-09-03 |
2002-10-04 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-03 |
2002-10-04 |
Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-09-03 |
2002-10-04 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-03 |
2002-10-04 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2002-09-03 |
2002-09-25 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-29 |
2003-08-28 |
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 |
| 2003-07-29 |
2003-08-22 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| 2003-07-29 |
2003-08-28 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-29 |
2003-07-29 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-07-29 |
2003-08-28 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2003-07-29 |
2003-11-13 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2003-07-29 |
2003-11-13 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2003-07-29 |
2003-08-28 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| 2003-07-29 |
2003-08-28 |
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 |
| 2003-07-29 |
2003-08-20 |
Quality Care Deficiencies |
Use a registered nurse at least 8 hours a day, 7 days a week. |
Widespread |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.