| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-08-22 |
2001-10-22 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Actual harm |
| 2001-08-22 |
2001-10-22 |
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 |
| 2001-08-22 |
2001-10-22 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Actual harm |
| 2001-08-22 |
2001-10-22 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-08-22 |
2001-10-22 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Actual harm |
| 2001-08-22 |
2001-10-22 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Actual harm |
| 2001-08-22 |
2001-10-22 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2001-08-22 |
2001-10-22 |
Quality Care Deficiencies |
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-08-22 |
2001-10-22 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2001-08-22 |
2001-10-22 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Actual harm |
| 2001-08-22 |
2001-10-22 |
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 |
| 2001-08-22 |
2001-10-22 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-08-22 |
2001-10-22 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Isolated |
Actual harm |
| 2002-07-12 |
2002-08-31 |
Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-07-12 |
2002-08-31 |
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 |
| 2002-07-12 |
2002-08-31 |
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 |
| 2002-07-12 |
2002-08-31 |
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 |
| 2002-07-12 |
2002-08-31 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-07-12 |
2002-08-31 |
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 |
| 2002-07-12 |
2002-08-31 |
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 |
| 2002-07-12 |
2002-08-31 |
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 |
| 2002-07-12 |
2002-08-31 |
Quality Care Deficiencies |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-07-12 |
2002-08-31 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-07-12 |
2002-08-31 |
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 |
| 2003-08-14 |
2003-09-25 |
Resident Rights Deficiencies |
Let the resident refuse treatment or refuse to take part in an experiment. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-14 |
2003-09-25 |
Resident Rights Deficiencies |
Send and promptly deliver unopened mail to residents. |
Pattern |
Potential for minimal harm |
| 2003-08-14 |
2003-09-25 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-14 |
2003-09-25 |
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 |
| 2003-08-14 |
2003-09-25 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Actual harm |
| 2003-08-14 |
2003-09-25 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-14 |
2003-09-25 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-14 |
2003-09-25 |
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 |
| 2003-08-14 |
2003-09-25 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Isolated |
Actual harm |
| 2003-08-14 |
2003-09-25 |
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 |
| 2003-08-14 |
2003-09-25 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Actual harm |
| 2003-08-14 |
2003-09-25 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2003-08-14 |
2003-09-25 |
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 |
| 2003-08-14 |
2003-09-25 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-14 |
2003-09-25 |
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. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-14 |
2003-09-25 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-08-14 |
2003-09-25 |
Administration Deficiencies |
Give or get lab tests by a certified laboratory. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-14 |
2003-09-25 |
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 |
*** All violations listed are based on federal government records.