Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
|
02/02/2012
|
00/06/2002
|
2
|
Few
|
|
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
|
02/02/2012
|
00/06/2002
|
2
|
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.
|
02/02/2012
|
00/06/2002
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
02/02/2012
|
00/06/2002
|
2
|
Few
|
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.
|
02/02/2012
|
00/06/2002
|
2
|
Few
|
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.
|
02/02/2012
|
00/06/2002
|
2
|
Many
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide medically-related social services to help each resident achieve the highest possible quality of life.
|
02/02/2012
|
00/06/2002
|
2
|
Few
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
02/02/2012
|
00/06/2002
|
2
|
Few
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
02/02/2012
|
00/06/2002
|
2
|
Few
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
02/02/2012
|
00/06/2002
|
2
|
Few
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
02/02/2012
|
00/06/2002
|
2
|
Some
|
|
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
|
02/02/2012
|
00/06/2002
|
2
|
Few
|
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.
|
02/02/2012
|
00/06/2002
|
2
|
Some
|
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
|
02/07/2009
|
00/05/2011
|
2
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
02/07/2009
|
00/05/2011
|
2
|
Some
|
|
Provide housekeeping and maintenance services.
|
02/07/2009
|
00/05/2011
|
2
|
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.
|
02/07/2009
|
00/05/2011
|
2
|
Few
|
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.
|
02/07/2009
|
00/05/2011
|
2
|
Few
|
|
Ensure residents maintain acceptable nutritional status.
|
02/07/2009
|
00/05/2011
|
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.
|
02/07/2009
|
00/05/2011
|
2
|
Few
|
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
|
00/04/2003
|
01/00/2004
|
2
|
Some
|
|
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
|
00/04/2003
|
01/00/2004
|
2
|
Many
|
|
Keep accurate
|
00/04/2003
|
01/00/2004
|
Some
|
complete and organized clinical records on each re
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
00/04/2003
|
01/00/2004
|
2
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
00/04/2003
|
01/00/2004
|
2
|
Many
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
00/04/2003
|
01/00/2004
|
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.
|
00/04/2003
|
01/00/2004
|
2
|
Some
|
|
Store, cook, and serve food in a safe and clean way.
|
00/04/2003
|
01/00/2004
|
2
|
Many
|
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.
|
00/04/2003
|
01/00/2004
|
2
|
Some
|
|
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
|
00/04/2003
|
01/00/2004
|
2
|
Some
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Keep the rate of medication errors (wrong drug
|
00/04/2003
|
01/00/2004
|
wrong time) to less than 5%.
|
wrong dose
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
|
00/04/2003
|
01/00/2004
|
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.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking
|
00/04/2003
|
01/00/2004
|
Few
|
grooming and personal and oral hygiene.
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure each resident receives an accurate assessment by a qualified health professional.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
00/04/2003
|
01/00/2004
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep residents' personal and medical records private and confidential.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Try to resolve each resident's complaints quickly.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
00/04/2003
|
01/00/2004
|
2
|
Some
|
|
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.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Try to resolve each resident's complaints quickly.
|
00/04/2003
|
01/00/2004
|
2
|
Few
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
00/04/2003
|
01/00/2004
|
2
|
Some
|