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.
|
00/05/2010
|
02/01/2011
|
1
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
00/05/2010
|
02/01/2011
|
2
|
Few
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
00/05/2010
|
02/01/2011
|
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.
|
00/05/2010
|
02/01/2011
|
2
|
Few
|
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
|
02/08/2003
|
01/02/2005
|
2
|
Many
|
|
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
|
02/08/2003
|
00/05/2006
|
2
|
Some
|
|
Provide or obtain laboratory services only when ordered by the attending physician.
|
02/08/2003
|
00/05/2006
|
2
|
Some
|
|
Give or get x-rays and other tests in a timely manner to meet the needs of residents.
|
02/08/2003
|
01/02/2005
|
2
|
Few
|
|
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
|
02/08/2003
|
00/05/2006
|
2
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
02/08/2003
|
01/02/2005
|
1
|
Some
|
|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
|
02/08/2003
|
01/02/2005
|
1
|
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.
|
02/08/2003
|
01/02/2005
|
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.
|
02/08/2003
|
00/05/2006
|
2
|
Few
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
02/08/2003
|
01/02/2005
|
2
|
Some
|
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.
|
02/08/2003
|
00/05/2006
|
2
|
Some
|
|
Develop policies and procedures for influenza and pneumococcal immunizations.
|
02/08/2003
|
01/02/2005
|
2
|
Few
|
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.
|
02/08/2003
|
01/02/2005
|
2
|
Some
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
02/08/2003
|
01/02/2005
|
2
|
Few
|
|
Allow residents the right to participate in the planning or revision of care and treatment.
|
02/08/2003
|
01/02/2005
|
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.
|
02/08/2003
|
01/02/2005
|
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.
|
00/03/2003
|
01/07/2004
|
2
|
Some
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
00/03/2003
|
01/07/2004
|
2
|
Some
|
|
Use a registered nurse at least 8 hours a day, 7 days a week.
|
00/03/2003
|
01/07/2004
|
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.
|
00/03/2003
|
01/07/2004
|
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.
|
02/00/2002
|
00/06/2004
|
2
|
Few
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
02/00/2002
|
00/06/2004
|
1
|
Some
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
02/00/2002
|
00/06/2004
|
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.
|
02/00/2002
|
00/06/2004
|
2
|
Some
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
02/00/2002
|
00/06/2004
|
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.
|
02/00/2002
|
00/06/2004
|
2
|
Some
|
|
Develop policies and procedures for influenza and pneumococcal immunizations.
|
02/00/2002
|
00/06/2004
|
2
|
Few
|
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.
|
02/00/2002
|
00/06/2004
|
2
|
Few
|
|
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
|
02/00/2002
|
00/06/2004
|
2
|
Few
|
|
Make sure that doctors visit residents regularly, as required.
|
02/00/2002
|
00/06/2004
|
2
|
Few
|
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
|
00/04/2002
|
03/01/2003
|
2
|
Few
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
00/04/2002
|
03/01/2003
|
1
|
Some
|
|
Provide clean bed and bath linens that are in good condition.
|
00/04/2002
|
03/01/2003
|
1
|
Many
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
00/04/2002
|
03/01/2003
|
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.
|
00/04/2002
|
03/01/2003
|
2
|
Few
|
|
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
|
00/04/2002
|
03/01/2003
|
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.
|
00/04/2002
|
03/01/2003
|
2
|
Some
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
00/04/2002
|
03/01/2003
|
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.
|
00/04/2002
|
03/01/2003
|
2
|
Few
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Assess in a timely manner the resident when the resident enters the nursing home.
|
00/04/2002
|
03/01/2003
|
2
|
Few
|
|
Completely assess the resident at least every twelve months.
|
00/04/2002
|
03/01/2003
|
2
|
Few
|
|
Assure that each resident
|
00/04/2002
|
03/01/2003
|
2
|
Few
|
|
Ensure each resident receives an accurate assessment by a qualified health professional.
|
00/04/2002
|
03/01/2003
|
2
|
Some
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
00/04/2002
|
03/01/2003
|
2
|
Some
|
|
Allow residents the right to participate in the planning or revision of care and treatment.
|
00/04/2002
|
03/01/2003
|
2
|
Few
|
|
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
|
00/04/2002
|
03/01/2003
|
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.
|
00/04/2002
|
03/01/2003
|
2
|
Few
|