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.
|
02/04/2011
|
02/04/2012
|
1
|
Some
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
02/04/2011
|
02/04/2012
|
2
|
Few
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that residents are safe from serious medication errors.
|
02/04/2011
|
02/04/2012
|
2
|
Few
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
02/04/2011
|
02/04/2012
|
2
|
Some
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
02/04/2011
|
02/04/2012
|
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.
|
02/04/2011
|
02/04/2012
|
3
|
Few
|
|
Give each resident enough fluids to keep them healthy and prevent dehydration.
|
02/04/2011
|
02/04/2012
|
3
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Reasonably accommodate the needs and preferences of each resident.
|
02/04/2011
|
02/04/2012
|
2
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
00/05/2010
|
00/04/2011
|
1
|
Some
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Protect each resident from mistreatment, neglect and misappropriation of personal property.
|
00/05/2010
|
00/04/2011
|
3
|
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.
|
00/05/2010
|
00/04/2011
|
3
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
00/05/2010
|
00/04/2011
|
2
|
Few
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
00/05/2010
|
00/04/2011
|
3
|
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.
|
00/05/2010
|
00/04/2011
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
|
00/05/2010
|
00/04/2011
|
2
|
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.
|
00/05/2006
|
00/01/2007
|
2
|
Some
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
00/05/2006
|
00/01/2007
|
2
|
Few
|
|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
|
00/05/2006
|
00/01/2007
|
2
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
00/05/2006
|
00/01/2007
|
2
|
Some
|
|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
|
00/05/2006
|
00/01/2007
|
2
|
Some
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
1) Hire only people with 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.
|
00/05/2006
|
00/01/2007
|
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.
|
00/05/2006
|
00/01/2007
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
00/05/2006
|
00/01/2007
|
2
|
Some
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
00/05/2006
|
00/01/2007
|
2
|
Few
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Allow residents the right to participate in the planning or revision of care and treatment.
|
00/05/2006
|
00/01/2007
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
|
00/05/2006
|
00/01/2007
|
2
|
Some
|
|
Reasonably accommodate the needs and preferences of each resident.
|
00/05/2006
|
00/01/2007
|
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.
|
02/05/2005
|
01/07/2006
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
02/05/2005
|
01/01/2006
|
2
|
Some
|
|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
|
02/05/2005
|
01/01/2006
|
2
|
Some
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep each resident free from physical restraints, unless needed for medical treatment.
|
02/05/2005
|
01/01/2006
|
2
|
Few
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
|
02/05/2005
|
00/02/2006
|
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.
|
02/05/2005
|
01/05/2006
|
2
|
Few
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
02/05/2005
|
01/01/2006
|
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.
|
02/05/2005
|
02/01/2006
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
02/05/2005
|
01/07/2006
|
2
|
Few
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
02/05/2005
|
01/07/2006
|
2
|
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.
|
02/05/2005
|
01/07/2006
|
2
|
Some
|
|
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.
|
02/05/2005
|
01/01/2006
|
2
|
Few
|
|
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
|
02/05/2005
|
02/06/2005
|
2
|
Few
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Conduct initial and periodic assessments of each resident's functional capacity.
|
02/05/2005
|
01/01/2006
|
2
|
Few
|
|
Allow residents the right to participate in the planning or revision of care and treatment.
|
02/05/2005
|
01/01/2006
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
|
02/05/2005
|
02/05/2006
|
1
|
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.
|
02/02/2004
|
02/09/2004
|
2
|
Few
|
|
Provide housekeeping and maintenance services.
|
02/02/2004
|
02/09/2004
|
2
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
02/02/2004
|
02/09/2004
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
02/02/2004
|
02/09/2004
|
2
|
Few
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
|
02/02/2004
|
00/06/2006
|
1
|
Some
|
|
Store, cook, and serve food in a safe and clean way.
|
02/02/2004
|
02/09/2004
|
2
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
|
02/02/2004
|
02/09/2004
|
2
|
Few
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide activities to meet the interests and needs of each resident.
|
02/02/2004
|
01/09/2005
|
2
|
Some
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
02/02/2004
|
02/09/2004
|
2
|
Some
|
|
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.
|
02/02/2004
|
02/04/2005
|
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.
|
02/02/2004
|
02/04/2005
|
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.
|
02/02/2004
|
02/09/2004
|
2
|
Some
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Allow residents the right to participate in the planning or revision of care and treatment.
|
02/02/2004
|
02/06/2005
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
|
02/02/2004
|
02/05/2005
|
2
|
Few
|
|
Keep residents' personal and medical records private and confidential.
|
02/02/2004
|
02/09/2004
|
2
|
Some
|
|
Reasonably accommodate the needs and preferences of each resident.
|
02/02/2004
|
02/09/2004
|
2
|
Few
|
|
Reasonably accommodate the needs and preferences of each resident.
|
02/02/2004
|
02/09/2004
|
2
|
Few
|