Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
01/04/2012
|
00/06/2001
|
1
|
Some
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
01/04/2012
|
01/03/2001
|
2
|
Some
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Make sure that special or therapeutic diets are ordered by the attending doctor.
|
01/04/2012
|
01/03/2001
|
2
|
Few
|
|
Store, cook, and serve food in a safe and clean way.
|
01/04/2012
|
01/03/2001
|
2
|
Many
|
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.
|
01/04/2012
|
01/03/2001
|
3
|
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.
|
01/04/2012
|
01/03/2001
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give residents a notice of rights, rules, services and charges.
|
01/04/2012
|
01/03/2001
|
1
|
Many
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
01/04/2012
|
01/03/2001
|
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.
|
01/04/2012
|
01/03/2001
|
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.
|
01/06/2004
|
01/04/2005
|
2
|
Few
|
|
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
|
01/06/2004
|
01/04/2005
|
2
|
Few
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
01/06/2004
|
01/04/2005
|
2
|
Some
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
01/06/2004
|
01/04/2005
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
01/06/2004
|
01/04/2005
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
01/06/2004
|
01/04/2005
|
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.
|
01/06/2004
|
01/04/2005
|
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.
|
01/06/2004
|
01/04/2005
|
3
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
01/06/2004
|
01/04/2005
|
2
|
Some
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
01/06/2004
|
01/04/2005
|
4
|
Few
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
01/06/2004
|
01/04/2005
|
3
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
01/06/2004
|
01/04/2005
|
2
|
Some
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
01/06/2004
|
01/04/2005
|
4
|
Few
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Review or revise the resident's care plan after any major change in physical or mental health.
|
01/06/2004
|
01/04/2005
|
2
|
Few
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
01/06/2004
|
01/04/2005
|
2
|
Some
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
01/06/2004
|
01/04/2005
|
2
|
Some
|
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.
|
01/06/2004
|
01/04/2005
|
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.
|
01/06/2004
|
01/04/2005
|
2
|
Few
|
|
Reasonably accommodate the needs and preferences of each resident.
|
01/06/2004
|
01/04/2005
|
2
|
Few
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
01/06/2004
|
01/04/2005
|
2
|
Some
|
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Operate and provide services according to Federal, State, and local laws and professional standards.
|
01/07/2002
|
01/09/2003
|
2
|
Few
|
|
Operate and provide services according to Federal, State, and local laws and professional standards.
|
01/07/2002
|
01/09/2003
|
2
|
Few
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
01/07/2002
|
01/09/2003
|
1
|
Many
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
01/07/2002
|
01/09/2003
|
2
|
Many
|
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.
|
01/07/2002
|
01/09/2003
|
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.
|
01/07/2002
|
01/09/2003
|
2
|
Few
|
|
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.
|
01/07/2002
|
01/09/2003
|
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.
|
01/07/2002
|
01/09/2003
|
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.
|
01/07/2002
|
01/09/2003
|
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.
|
01/07/2002
|
01/09/2003
|
2
|
Few
|
|
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
|
01/07/2002
|
01/09/2003
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
01/07/2002
|
01/09/2003
|
2
|
Few
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
01/07/2002
|
01/09/2003
|
2
|
Some
|
|
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
|
01/07/2002
|
01/09/2003
|
2
|
Some
|
|
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
|
01/07/2002
|
01/09/2003
|
2
|
Some
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Assure that each resident
|
01/07/2002
|
01/09/2003
|
2
|
Few
|
|
Ensure each resident receives an accurate assessment by a qualified health professional.
|
01/07/2002
|
01/09/2003
|
2
|
Some
|
|
Ensure each resident receives an accurate assessment by a qualified health professional.
|
01/07/2002
|
01/09/2003
|
2
|
Some
|
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.
|
01/07/2002
|
01/09/2003
|
2
|
Few
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
01/07/2002
|
01/09/2003
|
2
|
Few
|