| Inspection Results: November 29, 2007 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
12/10/2007 |
Electrical Deficiencies |
Immediate jeopardy to resident health or safety |
proper power supply for life support equipment. |
| Fire Safety |
12/10/2007 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
12/10/2007 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
12/10/2007 |
Hazardous Area Deficiencies |
Minimal harm or potential for actual harm |
construction that can resist fire for one hour or an approved fire extinguishing system. |
| Fire Safety |
12/10/2007 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridor and hallway doors that block smoke. |
| Fire Safety |
12/10/2007 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
emergency lighting that can last at least 1 1/2 hours. |
| Fire Safety |
12/10/2007 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
exits that are accessible at all times. |
| Fire Safety |
12/10/2007 |
Furnishings and Decorations Deficiencies |
Minimal harm or potential for actual harm |
exits that are free from obstructions and can be used at all times. |
| Fire Safety |
12/10/2007 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper fire barriers, ventilation and signs for the transport of oxygen. |
| Fire Safety |
12/10/2007 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper medical gas storage and administration areas. |
| Fire Safety |
12/10/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Fire Safety |
12/10/2007 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
signs that state that exit doors are to be kept closed. |
| Fire Safety |
12/10/2007 |
Smoke Compartmentation and Control Deficiencies |
Minimal harm or potential for actual harm |
smoke barrier doors that can resist smoke for at least 20 minutes. |
| Fire Safety |
12/10/2007 |
Smoke Compartmentation and Control Deficiencies |
Minimal harm or potential for actual harm |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
| Fire Safety |
12/10/2007 |
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 |
12/10/2007 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
resident room doors of proper design and width. |
| Inspection Results: November 06, 2007 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
12/12/2007 |
Mistreatment Deficiencies |
Immediate jeopardy to resident health or safety |
Keep each resident free from physical restraints, unless needed for medical treatment. |
| Health |
12/12/2007 |
Environmental Deficiencies |
Immediate jeopardy to resident health or safety |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
12/12/2007 |
Quality Care Deficiencies |
Actual harm |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
| Health |
12/12/2007 |
Administration Deficiencies |
Actual harm |
Set up or keep a group of people to review and ensure quality. |
| Health |
12/12/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have enough backup water supply for important areas of the nursing home. |
| Health |
12/12/2007 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
1) Hire only people who have 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. |
| Health |
12/12/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. |
| Health |
12/12/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that each resident's nutritional needs were met. |
| Health |
12/12/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
12/12/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
12/12/2007 |
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 |
12/12/2007 |
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 |
12/12/2007 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
| Health |
12/12/2007 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Follow all laws and professional standards. |
| Health |
12/12/2007 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Get services outside the nursing home that meet professional standards. |
| Health |
12/12/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give each resident care and services to get or keep the highest quality of life possible. |
| Health |
12/12/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
| Health |
12/12/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have enough outside airflow. |
| Health |
12/12/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep adequate and comfortable lighting in all areas. |
| Health |
12/12/2007 |
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 |
12/12/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that each resident gets help to keep vision and hearing. |
| Health |
12/12/2007 |
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 |
12/12/2007 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Make sure that nurse aides show they have the skills to be able to care for residents. |
| Health |
12/12/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. |
| Health |
12/12/2007 |
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 |
12/12/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
| Health |
12/12/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Provide activities to meet the needs of each resident. |
| Health |
12/12/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
| Inspection Results: September 20, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Inspection Results: August 31, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
10/15/2006 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
| Health |
10/15/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide bedrooms that don't allow residents to see each other when privacy is needed. |
| Health |
10/15/2006 |
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 |
10/15/2006 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
1) Hire only people who have 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. |
| Health |
10/15/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
10/15/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Let residents give themselves their drugs if they are able. |
| Inspection Results: September 22, 2005 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
11/16/2005 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
a fire alarm system that can be heard throughout the facility. |
| Fire Safety |
11/16/2005 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
11/16/2005 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridor and hallway doors that block smoke. |
| Inspection Results: August 25, 2005 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
10/09/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
10/09/2005 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
10/09/2005 |
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 |
10/09/2005 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
1) Hire only people who have 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. |
| Health |
10/09/2005 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
10/09/2005 |
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 |
10/09/2005 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
| Health |
10/09/2005 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
