| Inspection Results: March 13, 2008 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
07/21/2008 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
| Fire Safety |
05/07/2008 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
properly maintained smoke detectors. |
| Fire Safety |
04/27/2008 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
04/27/2008 |
Furnishings and Decorations Deficiencies |
Minimal harm or potential for actual harm |
properly sized and located linen or trash receptacles. |
| Inspection Results: February 28, 2008 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
04/13/2008 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Allow residents to easily see the results of the nursing home's most recent survey. |
| Health |
04/13/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
| Health |
04/13/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
| Health |
04/13/2008 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
04/13/2008 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Try to resolve each resident's complaints quickly. |
| Health |
04/13/2008 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
| Health |
04/13/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
04/13/2008 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. |
| Health |
04/13/2008 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
04/13/2008 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
| Health |
04/13/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
| Health |
04/13/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Provide activities to meet the needs of each resident. |
| Inspection Results: February 05, 2007 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
03/18/2007 |
Quality Care Deficiencies |
Actual harm |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
| Health |
03/22/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
03/22/2007 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
| Health |
03/22/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that follow each resident's written care plan. |
| Health |
03/22/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. |
| Health |
03/22/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that a resident does not become withdrawn, angry or depressed if these problems did not exist before. |
| Health |
03/22/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that each resident's nutritional needs were met. |
| Health |
03/22/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents are well nourished. |
| Health |
03/22/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
| Health |
03/22/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
03/22/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide services to meet the needs and preferences of each resident. |
| Inspection Results: August 23, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Inspection Results: May 04, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
06/05/2006 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
| Health |
06/09/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
06/07/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
| Health |
06/07/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
06/05/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that follow each resident's written care plan. |
| Health |
05/12/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
06/05/2006 |
Resident Assessment Deficiencies |
Potential for minimal harm |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
