Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
|
01/04/2012
|
01/03/2001
|
2
|
Many
|
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%.
|
01/04/2012
|
01/03/2001
|
2
|
Some
|
|
Ensure that residents are safe from serious medication errors.
|
01/04/2012
|
01/03/2001
|
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.
|
01/04/2012
|
01/03/2001
|
2
|
Some
|
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.
|
01/04/2012
|
01/04/2012
|
1
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep residents' personal and medical records private and confidential.
|
01/04/2012
|
01/03/2001
|
2
|
Some
|
|
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
|
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.
|
02/08/2010
|
02/07/2011
|
2
|
Some
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
02/08/2010
|
02/07/2011
|
2
|
Some
|
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.
|
02/08/2010
|
02/07/2011
|
2
|
Some
|
|
Store, cook, and serve food in a safe and clean way.
|
02/08/2010
|
02/07/2011
|
2
|
Many
|
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%.
|
02/08/2010
|
02/07/2011
|
2
|
Some
|
|
Ensure that residents are safe from serious medication errors.
|
02/08/2010
|
02/07/2011
|
2
|
Few
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
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.
|
02/08/2010
|
02/07/2011
|
2
|
Few
|
|
Ensure residents maintain acceptable nutritional status.
|
02/08/2010
|
02/07/2011
|
2
|
Some
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep residents' personal and medical records private and confidential.
|
02/08/2010
|
02/07/2011
|
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.
|
00/05/2008
|
02/04/2010
|
2
|
Some
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
00/05/2008
|
02/04/2010
|
2
|
Few
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
|
00/05/2008
|
00/04/2009
|
2
|
Some
|
|
Store, cook, and serve food in a safe and clean way.
|
00/05/2008
|
02/04/2010
|
2
|
Many
|
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.
|
00/05/2008
|
00/04/2009
|
2
|
Some
|
|
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
|
00/05/2008
|
00/04/2009
|
2
|
Some
|
|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
|
00/05/2008
|
02/04/2010
|
2
|
Some
|
|
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.
|
00/05/2008
|
00/04/2009
|
2
|
Few
|
|
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
|
00/05/2008
|
02/04/2010
|
2
|
Some
|
|
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
|
00/05/2008
|
00/04/2009
|
2
|
Some
|
|
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.
|
00/05/2008
|
00/04/2009
|
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.
|
00/05/2008
|
00/04/2009
|
2
|
Some
|
|
Keep residents' personal and medical records private and confidential.
|
00/05/2008
|
00/04/2009
|
2
|
Some
|
|
Provide timely notification to the resident before transfer or discharge.
|
00/05/2008
|
00/05/2008
|
1
|
Some
|
|
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
|
00/05/2008
|
00/05/2008
|
1
|
Some
|
|
Provide timely notification to the resident before transfer or discharge.
|
00/05/2008
|
00/05/2008
|
1
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
01/08/2005
|
01/06/2006
|
2
|
Some
|
|
Provide clean bed and bath linens that are in good condition.
|
01/08/2005
|
01/08/2005
|
1
|
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.
|
01/08/2005
|
01/06/2006
|
2
|
Some
|
|
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
|
01/08/2005
|
01/06/2006
|
2
|
Few
|
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident.
|
01/03/2005
|
02/07/2005
|
4
|
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.
|
01/03/2005
|
02/07/2005
|
4
|
Some
|
|
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.
|
01/03/2005
|
02/07/2005
|
4
|
Some
|