Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep complete, dated laboratory records in the resident's file.
|
00/08/2007
|
01/08/2008
|
2
|
Few
|
|
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
|
00/08/2007
|
01/08/2008
|
2
|
Few
|
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.
|
00/08/2007
|
01/08/2008
|
2
|
Few
|
|
Ensure services provided by the nursing facility meet professional standards of quality.
|
00/08/2007
|
01/08/2008
|
2
|
Few
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
00/08/2007
|
01/08/2008
|
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.
|
00/08/2007
|
01/08/2008
|
2
|
Few
|
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.
|
00/07/2006
|
01/08/2007
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
00/07/2006
|
01/07/2007
|
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.
|
00/07/2006
|
01/07/2007
|
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.
|
00/07/2006
|
01/08/2007
|
2
|
Few
|
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.
|
02/05/2002
|
00/07/2004
|
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.
|
02/05/2002
|
00/07/2004
|
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.
|
02/05/2002
|
00/07/2004
|
2
|
Few
|
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.
|
02/05/2002
|
00/07/2004
|
2
|
Few
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
02/05/2002
|
00/07/2004
|
2
|
Some
|
|
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.
|
02/05/2002
|
00/07/2004
|
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.
|
02/05/2002
|
00/07/2004
|
2
|
Few
|
|
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.
|
02/05/2002
|
00/07/2004
|
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.
|
02/05/2002
|
00/07/2004
|
2
|
Few
|
|
Reasonably accommodate the needs and preferences of each resident.
|
02/05/2002
|
00/07/2004
|
2
|
Few
|
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.
|
03/01/2001
|
01/02/2003
|
3
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
03/01/2001
|
01/02/2003
|
2
|
Few
|
|
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
|
03/01/2001
|
01/02/2003
|
2
|
Few
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
|
03/01/2001
|
01/02/2003
|
2
|
Some
|
|
Store, cook, and serve food in a safe and clean way.
|
03/01/2001
|
01/02/2003
|
2
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
03/01/2001
|
01/02/2003
|
2
|
Few
|
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.
|
03/01/2001
|
01/02/2003
|
2
|
Few
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Conduct initial and periodic assessments of each resident's functional capacity.
|
03/01/2001
|
01/02/2003
|
2
|
Few
|
|
Assess in a timely manner the resident when the resident enters the nursing home.
|
03/01/2001
|
01/02/2003
|
2
|
Few
|
|
Assure that each resident
|
03/01/2001
|
01/02/2003
|
2
|
Few
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
03/01/2001
|
01/02/2003
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep residents' personal and medical records private and confidential.
|
03/01/2001
|
01/02/2003
|
2
|
Few
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
02/08/2001
|
00/02/2003
|
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.
|
02/08/2001
|
00/02/2003
|
2
|
Few
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
02/08/2001
|
00/02/2003
|
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.
|
02/08/2001
|
00/02/2003
|
2
|
Few
|
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
|
02/00/2001
|
02/08/2002
|
2
|
Some
|
|
Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements.
|
02/00/2001
|
02/08/2002
|
2
|
Few
|
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.
|
02/00/2001
|
02/08/2002
|
2
|
Few
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
02/00/2001
|
02/08/2002
|
2
|
Some
|
|
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
|
02/00/2001
|
02/08/2002
|
2
|
Some
|
|
Have enough outside ventilation via a window or mechanical ventilation, or both.
|
02/00/2001
|
02/08/2002
|
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.
|
02/00/2001
|
02/08/2002
|
2
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
|
02/00/2001
|
02/08/2002
|
2
|
Few
|
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.
|
02/00/2001
|
02/08/2002
|
2
|
Few
|
|
Provide necessary care and services to maintain or improve the highest well being of each resident.
|
02/00/2001
|
02/08/2002
|
2
|
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.
|
02/00/2001
|
02/08/2002
|
2
|
Few
|
|
Ensure each resident receives an accurate assessment by a qualified health professional.
|
02/00/2001
|
02/08/2002
|
2
|
Few
|
|
Allow residents the right to participate in the planning or revision of care and treatment.
|
02/00/2001
|
02/08/2002
|
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.
|
02/00/2001
|
02/08/2002
|
2
|
Few
|