Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
01/01/2003
|
02/06/2004
|
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.
|
01/01/2003
|
02/06/2004
|
2
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
|
01/01/2003
|
02/06/2004
|
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.
|
01/01/2003
|
02/06/2004
|
2
|
Few
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
01/01/2003
|
02/06/2004
|
3
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
01/01/2003
|
02/06/2004
|
2
|
Some
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
01/01/2003
|
02/06/2004
|
2
|
Few
|
|
Develop policies and procedures for influenza and pneumococcal immunizations.
|
01/01/2003
|
02/06/2004
|
1
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep residents' personal and medical records private and confidential.
|
01/01/2003
|
02/06/2004
|
2
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
|
02/06/2001
|
02/06/2004
|
2
|
Some
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
02/06/2001
|
01/01/2003
|
2
|
Few
|
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.
|
02/06/2001
|
02/06/2004
|
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.
|
02/06/2001
|
01/01/2003
|
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.
|
01/02/2001
|
02/09/2002
|
2
|
Few
|
|
Maintain comfortable and safe temperature levels.
|
01/02/2001
|
02/09/2002
|
2
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
01/02/2001
|
02/09/2002
|
3
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
01/02/2001
|
02/09/2002
|
2
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
01/02/2001
|
02/09/2002
|
3
|
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.
|
01/02/2001
|
02/09/2002
|
2
|
Many
|
|
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
|
01/02/2001
|
02/09/2002
|
2
|
Some
|
|
Store, cook, and serve food in a safe and clean way.
|
01/02/2001
|
02/09/2002
|
2
|
Many
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
|
01/02/2001
|
02/09/2002
|
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.
|
01/02/2001
|
02/09/2002
|
2
|
Some
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
01/02/2001
|
02/09/2002
|
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.
|
01/02/2001
|
02/09/2002
|
2
|
Some
|
|
Provide routine and 24-hour emergency dental care for each resident.
|
01/02/2001
|
02/09/2002
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give the resident's representative the ability to exercise the resident's rights.
|
01/02/2001
|
02/09/2002
|
2
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
01/00/2001
|
02/06/2002
|
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.
|
01/00/2001
|
02/06/2002
|
2
|
Some
|
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.
|
01/00/2001
|
02/06/2002
|
2
|
Some
|
|
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
|
01/00/2001
|
02/06/2002
|
2
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
|
01/00/2001
|
02/06/2002
|
2
|
Some
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
01/00/2001
|
02/06/2002
|
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.
|
01/00/2001
|
02/06/2002
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
01/00/2001
|
02/06/2002
|
2
|
Few
|