| Inspection Results: August 15, 2007 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
No Issues Reported |
| Inspection Results: June 20, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
07/27/2006 |
Pharmacy Service Deficiencies |
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 |
07/27/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
09/25/2006 |
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 |
07/27/2006 |
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 |
07/27/2006 |
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 |
09/25/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
07/27/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep temperature levels comfortable and safe. |
| Health |
09/25/2006 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
| Health |
07/27/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that staff members wash their hands when needed. |
| Health |
09/25/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
07/27/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
| Health |
07/27/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
07/27/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide services to meet the needs and preferences of each resident. |
| Health |
07/27/2006 |
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 |
07/27/2006 |
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. |
| Health |
07/27/2006 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
At least once a month, have a licensed pharmacist check the drugs that each resident takes. |
| Health |
07/27/2006 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Develop a plan with the resident and family for the resident's care after leaving the nursing home. |
| Health |
07/26/2006 |
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 |
07/27/2006 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
07/27/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident's personal and medical records private and confidential. |
| Health |
09/25/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that each resident's nutritional needs were met. |
| Health |
07/27/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents are well nourished. |
| Health |
09/25/2006 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Properly mark drugs and other similar products. |
| Health |
09/25/2006 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
| Health |
07/27/2006 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. |
| Health |
07/27/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Provide activities to meet the needs of each resident. |
| Health |
07/27/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Try to resolve each resident's complaints quickly. |
| Inspection Results: June 12, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
08/07/2006 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper medical gas storage and administration areas. |
| Fire Safety |
08/07/2006 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Fire Safety |
08/07/2006 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
properly located and lighted "Exit" signs. |
| Fire Safety |
08/07/2006 |
Emergency Plans and Fire Drills Deficiencies |
Minimal harm or potential for actual harm |
record of quarterly fire drills for each shift under varying conditions. |
| Fire Safety |
08/07/2006 |
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 |
08/07/2006 |
Vertical Openings Deficiencies |
Minimal harm or potential for actual harm |
proper stairway enclosures and vertical shafts. |
| Inspection Results: September 01, 2005 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
10/16/2005 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
10/16/2005 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
10/16/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that staff members wash their hands when needed. |
| Inspection Results: August 30, 2005 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
10/21/2005 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
10/21/2005 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved back-up procedure for a faulty fire alarm system. |
| Fire Safety |
10/21/2005 |
Building Contruction Deficiencies |
Minimal harm or potential for actual harm |
approved construction type or materials. |
| Fire Safety |
10/21/2005 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
back-up procedures in place for a faulty automatic sprinkler system. |
| Fire Safety |
10/21/2005 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
properly located and lighted "Exit" signs. |
| Fire Safety |
10/21/2005 |
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 |
10/21/2005 |
Emergency Plans and Fire Drills Deficiencies |
Minimal harm or potential for actual harm |
record of quarterly fire drills for each shift under varying conditions. |
