| Inspection Results: February 21, 2008 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
02/21/2008 |
Exit and Exit Access Deficiencies |
Immediate jeopardy to resident health or safety |
at least two remote exits on each floor or fire section of the building. |
| Fire Safety |
02/21/2008 |
Exits and Egress Deficiencies |
Immediate jeopardy to resident health or safety |
exits that are accessible at all times. |
| Fire Safety |
02/21/2008 |
Building Service Equipment Deficiencies |
Actual harm |
properly protected cooking facilities. |
| Fire Safety |
03/27/2008 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
03/05/2008 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
02/27/2008 |
Miscellaneous Deficiencies |
Minimal harm or potential for actual harm |
fire safety features required by current fire safety codes. |
| Fire Safety |
03/20/2008 |
Hazardous Area Deficiencies |
Minimal harm or potential for actual harm |
properly installed hallway dispensers for alcohol-based hand rub. |
| Fire Safety |
02/28/2008 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
properly located and lighted "Exit" signs. |
| Fire Safety |
03/05/2008 |
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 |
03/20/2008 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
04/15/2008 |
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 |
03/19/2008 |
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 |
02/21/2008 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
no-smoking signs where oxygen is used. |
| Fire Safety |
03/10/2008 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Inspection Results: February 14, 2008 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
03/27/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have enough backup water supply for important areas of the nursing home. |
| Health |
03/27/2008 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
03/27/2008 |
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 |
03/27/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have enough outside airflow. |
| Health |
03/27/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep all essential equipment working safely. |
| Health |
03/27/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep safe, clean and homelike surroundings. |
| Health |
03/27/2008 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents are well nourished. |
| Health |
03/27/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. |
| Health |
03/27/2008 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Provide food in a way that meets a resident's needs. |
| Health |
03/27/2008 |
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 |
03/27/2008 |
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 |
03/27/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
03/27/2008 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
03/27/2008 |
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 |
03/27/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Provide activities to meet the needs of each resident. |
| Health |
03/27/2008 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide services to meet the needs and preferences of each resident. |
| Inspection Results: January 17, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
03/13/2007 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
03/13/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Fire Safety |
03/13/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
03/13/2007 |
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 |
03/13/2007 |
Furnishings and Decorations Deficiencies |
Minimal harm or potential for actual harm |
restrictions on the use of flammable curtains. |
| Inspection Results: January 09, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
02/26/2007 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
| Health |
02/26/2007 |
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 |
02/26/2007 |
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 |
02/26/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
02/26/2007 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
02/26/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide services to meet the needs and preferences of each resident. |
| Inspection Results: December 30, 2005 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Inspection Results: December 22, 2005 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
01/31/2006 |
Quality Care Deficiencies |
Actual harm |
Make sure that each resident's nutritional needs were met. |
| Health |
02/16/2006 |
Environmental Deficiencies |
Actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
01/31/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that staff members wash their hands when needed. |
| Health |
01/31/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
01/31/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
01/31/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
| Health |
03/28/2006 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
01/31/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident's personal and medical records private and confidential. |
| Health |
01/31/2006 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Make sure that all needed doctor visits are made personally by a doctor, as required. |
| Health |
01/31/2006 |
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. |