| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-05-24 |
2001-06-20 |
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 |
| 2001-05-24 |
2001-05-24 |
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 |
| 2001-05-24 |
2001-06-20 |
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 |
| 2001-05-24 |
2001-05-24 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-05-24 |
2001-06-20 |
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 |
Minimal harm or potential for actual harm |
| 2001-05-24 |
2001-06-20 |
Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-05-24 |
2001-05-24 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-05-24 |
2001-05-24 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-05-24 |
2001-06-20 |
Administration Deficiencies |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-26 |
2002-09-30 |
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 |
| 2002-08-26 |
2002-09-30 |
Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-26 |
2002-09-30 |
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 |
| 2002-08-26 |
2002-09-30 |
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 |
| 2002-08-26 |
2002-09-30 |
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 |
| 2002-08-26 |
2002-09-30 |
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 |
| 2002-08-26 |
2002-09-30 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-08-26 |
2002-09-30 |
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 |
| 2002-08-26 |
2002-09-30 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-26 |
2002-09-30 |
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 |
| 2002-08-26 |
2002-09-30 |
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 |
| 2002-08-26 |
2002-09-30 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Pattern |
Potential for minimal harm |
| 2002-08-26 |
2002-09-30 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Potential for minimal harm |
| 2002-08-26 |
2002-09-30 |
Administration Deficiencies |
Train all employees on what to do in an emergency. |
Pattern |
Potential for minimal harm |
| 2003-08-07 |
2003-09-20 |
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 |
| 2003-08-07 |
2003-09-20 |
Resident Rights Deficiencies |
Listen to the resident or family groups or act on their complaints or suggestions. |
Pattern |
Potential for minimal harm |
| 2003-08-07 |
2003-09-20 |
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 |
| 2003-08-07 |
2003-09-20 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-07 |
2003-09-20 |
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 |
| 2003-08-07 |
2003-09-20 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-07 |
2003-09-20 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-07 |
2003-09-20 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Pattern |
Potential for minimal harm |
| 2003-08-07 |
2003-09-20 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-07 |
2003-09-20 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-07 |
2003-09-20 |
Administration Deficiencies |
Keep complete, dated lab records in the resident's file. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.