Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Operate and provide services according to Federal
|
01/03/2009
|
02/04/2010
|
and local laws and professional standards.
|
State
|
|
Keep accurate
|
01/03/2009
|
02/04/2010
|
Some
|
complete and organized clinical records on each re
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
01/03/2009
|
02/04/2010
|
2
|
Some
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep each resident free from physical restraints
|
01/03/2009
|
02/04/2010
|
Few
|
unless needed for medical treatment.
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
|
01/03/2009
|
02/04/2010
|
2
|
Few
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
01/03/2009
|
02/04/2010
|
2
|
Few
|
|
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
|
01/03/2009
|
02/04/2010
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident
|
01/03/2009
|
02/04/2010
|
and a family member of situations (injury/decline/
|
the resident's doctor
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
01/03/2009
|
02/04/2010
|
2
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
02/04/2005
|
02/02/2006
|
2
|
Few
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep each resident free from physical restraints, unless needed for medical treatment.
|
02/04/2005
|
02/02/2006
|
2
|
Few
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
|
02/04/2005
|
02/02/2006
|
2
|
Some
|
|
Store, cook, and serve food in a safe and clean way.
|
02/04/2005
|
02/02/2006
|
2
|
Many
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure services provided by the nursing facility meet professional standards of quality.
|
02/04/2005
|
02/02/2006
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
02/04/2005
|
02/02/2006
|
2
|
Few
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Have a program that investigates
|
01/03/2004
|
00/04/2005
|
Few
|
controls and keeps infection from spreading.
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Develop and implement policies for 1) screening and training employees; and the 2) prevention
|
01/03/2004
|
00/04/2005
|
investigation
|
identification
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
01/03/2004
|
00/04/2005
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking
|
01/03/2004
|
02/02/2006
|
Some
|
grooming and personal and oral hygiene.
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident
|
01/03/2004
|
02/02/2006
|
and a family member of situations (injury/decline/
|
the resident's doctor
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
01/03/2004
|
00/04/2005
|
3
|
Few
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
01/01/2004
|
00/02/2005
|
2
|
Some
|
|
Have a program that investigates
|
01/01/2004
|
00/02/2005
|
Few
|
controls and keeps infection from spreading.
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Assist those residents who need help with eating/drinking
|
01/01/2004
|
00/02/2005
|
Few
|
grooming and personal and oral hygiene.
|
|
Ensure that each resident who enters the nursing home without a catheter is not given a catheter
|
01/01/2004
|
00/02/2005
|
and that incontinent patients receive proper servi
|
unless medically necessary
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident
|
01/01/2004
|
00/02/2005
|
and a family member of situations (injury/decline/
|
the resident's doctor
|
|
Keep residents' personal and medical records private and confidential.
|
01/01/2004
|
00/02/2005
|
1
|
Many
|
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Post nurse staffing information/data on a daily basis.
|
02/04/2003
|
02/02/2004
|
1
|
Many
|
|
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
|
02/04/2003
|
02/02/2004
|
1
|
Many
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
02/04/2003
|
02/08/2006
|
2
|
Few
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
|
02/04/2003
|
02/02/2004
|
2
|
Some
|
|
Provide food in a way that meets a resident's needs.
|
02/04/2003
|
02/02/2004
|
2
|
Some
|
|
Store, cook, and serve food in a safe and clean way.
|
02/04/2003
|
02/02/2004
|
2
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
|
02/04/2003
|
02/02/2004
|
2
|
Few
|
|
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
|
02/04/2003
|
02/08/2006
|
2
|
Some
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure services provided by the nursing facility meet professional standards of quality.
|
02/04/2003
|
02/08/2006
|
2
|
Few
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
02/04/2003
|
02/02/2004
|
2
|
Few
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
02/04/2003
|
02/02/2004
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide proof that residents' personal money that is deposited with the nursing home is secure.
|
02/04/2003
|
02/02/2004
|
1
|
Many
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
02/04/2003
|
02/08/2006
|
2
|
Few
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Have a program that investigates
|
02/02/2003
|
02/02/2004
|
Few
|
controls and keeps infection from spreading.
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep each resident free from physical restraints
|
02/02/2003
|
02/02/2004
|
Few
|
unless needed for medical treatment.
|
|
Develop and implement policies for 1) screening and training employees; and the 2) prevention
|
02/02/2003
|
02/02/2004
|
investigation
|
identification
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Assist those residents who need help with eating/drinking
|
02/02/2003
|
02/08/2006
|
Some
|
grooming and personal and oral hygiene.
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give residents a notice of rights
|
02/02/2003
|
02/02/2004
|
services and charges.
|
rules
|
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Operate and provide services according to Federal, State, and local laws and professional standards.
|
00/09/2003
|
01/06/2004
|
2
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
|
00/09/2003
|
01/06/2004
|
2
|
Some
|
|
Provide clean bed and bath linens that are in good condition.
|
00/09/2003
|
01/06/2004
|
2
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
00/09/2003
|
01/06/2004
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
00/09/2003
|
00/04/2005
|
2
|
Some
|
|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
|
00/09/2003
|
01/06/2004
|
2
|
Many
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Store, cook, and serve food in a safe and clean way.
|
00/09/2003
|
01/06/2004
|
1
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
|
00/09/2003
|
01/06/2004
|
2
|
Some
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
00/09/2003
|
01/06/2004
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
00/09/2003
|
01/06/2004
|
2
|
Few
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
00/09/2003
|
00/00/0000
|
3
|
Few
|
|
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
|
00/09/2003
|
01/06/2004
|
2
|
Few
|
|
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
|
00/09/2003
|
01/06/2004
|
2
|
Few
|
|
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.
|
00/09/2003
|
00/00/0000
|
2
|
Few
|
|
Give each resident enough fluids to keep them healthy and prevent dehydration.
|
00/09/2003
|
00/00/0000
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give residents a notice of rights, rules, services and charges.
|
00/09/2003
|
01/06/2004
|
1
|
Some
|
|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
|
00/09/2003
|
00/00/0000
|
2
|
Few
|
|
Keep residents' personal and medical records private and confidential.
|
00/09/2003
|
01/06/2004
|
2
|
Few
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
00/09/2003
|
00/04/2005
|
1
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Maintain comfortable and safe temperature levels.
|
01/09/2001
|
01/09/2002
|
2
|
Some
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Assist those residents who need help with eating/drinking
|
01/09/2001
|
02/02/2006
|
Few
|
grooming and personal and oral hygiene.
|
|
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
|
01/09/2001
|
01/09/2002
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
01/09/2001
|
00/04/2005
|
2
|
Some
|