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.
|
02/01/2011
|
00/01/2001
|
1
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
02/01/2011
|
00/01/2001
|
2
|
Few
|
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, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
|
02/01/2011
|
00/01/2001
|
2
|
Few
|
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.
|
02/01/2011
|
00/01/2001
|
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.
|
02/01/2011
|
00/01/2001
|
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.
|
02/01/2011
|
00/01/2001
|
2
|
Few
|
|
Ensure residents maintain acceptable nutritional status.
|
02/01/2011
|
00/01/2001
|
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.
|
02/01/2011
|
00/01/2001
|
1
|
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.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
01/02/2010
|
02/06/2011
|
2
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
01/02/2010
|
02/06/2011
|
2
|
Some
|
|
Put firmly secured handrails on each side of hallways.
|
01/02/2010
|
02/06/2011
|
2
|
Some
|
|
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Hire sufficient dietary support personnel.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Store, cook, and serve food in a safe and clean way.
|
01/02/2010
|
02/06/2011
|
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.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Ensure that residents are safe from serious medication errors.
|
01/02/2010
|
02/06/2011
|
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.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
|
01/02/2010
|
02/06/2011
|
2
|
Some
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Conduct initial and periodic assessments of each resident's functional capacity.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Allow residents the right to participate in the planning or revision of care and treatment.
|
01/02/2010
|
02/06/2011
|
2
|
Some
|
|
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Ensure each resident receives an accurate assessment by a qualified health professional.
|
01/02/2010
|
00/03/2011
|
1
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give residents a notice of rights, rules, services and charges.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Try to resolve each resident's complaints quickly.
|
01/02/2010
|
02/06/2011
|
2
|
Few
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
01/02/2010
|
02/06/2011
|
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.
|
01/07/2008
|
01/09/2011
|
2
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
01/07/2008
|
01/09/2011
|
1
|
Some
|
|
Dispose of garbage and refuse properly.
|
01/07/2008
|
01/09/2011
|
1
|
Some
|
|
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.
|
01/07/2008
|
01/09/2011
|
2
|
Some
|
|
Keep all essential equipment working safely.
|
01/07/2008
|
01/09/2011
|
2
|
Some
|
|
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
|
01/07/2008
|
01/09/2011
|
1
|
Many
|
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.
|
01/07/2008
|
01/09/2011
|
1
|
Some
|
|
Store, cook, and serve food in a safe and clean way.
|
01/07/2008
|
01/09/2011
|
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%.
|
01/07/2008
|
01/09/2011
|
2
|
Few
|
|
Ensure that residents are safe from serious medication errors.
|
01/07/2008
|
01/09/2011
|
2
|
Few
|
|
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
|
01/07/2008
|
01/09/2011
|
1
|
Many
|
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.
|
01/07/2008
|
01/09/2011
|
2
|
Some
|
|
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
|
01/07/2008
|
01/09/2011
|
1
|
Some
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Make sure that doctors visit residents regularly, as required.
|
01/07/2008
|
01/09/2011
|
2
|
Some
|