| Inspection Results: May 08, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
06/15/2007 |
Vertical Openings Deficiencies |
Minimal harm or potential for actual harm |
proper stairway enclosures and vertical shafts. |
| Fire Safety |
06/15/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Fire Safety |
06/15/2007 |
Emergency Plans and Fire Drills Deficiencies |
Minimal harm or potential for actual harm |
record of quarterly fire drills for each shift under varying conditions. |
| Inspection Results: May 03, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
06/13/2007 |
Quality Care Deficiencies |
Actual harm |
Give the right treatment and services to residents who have mental or social problems adjusting. |
| Health |
06/13/2007 |
Environmental Deficiencies |
Actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
06/13/2007 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Set up or keep a group of people to review and ensure quality. |
| Health |
06/13/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
06/13/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep a resident apart from the others if the resident has an infection that can spread. |
| Health |
06/13/2007 |
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 |
06/13/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
06/13/2007 |
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 |
06/13/2007 |
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 |
06/13/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give each resident a special diet to help when there is a nutritional problem. |
| Health |
06/13/2007 |
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 |
06/13/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Give enough notice to the resident before changing the resident's room or roommate. |
| Health |
06/13/2007 |
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 |
06/13/2007 |
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. |
| Health |
06/13/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. |
| Health |
06/13/2007 |
Mistreatment Deficiencies |
Potential for minimal harm |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
| Inspection Results: May 30, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
09/25/2006 |
Quality Care Deficiencies |
Actual harm |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
| Health |
09/25/2006 |
Quality Care Deficiencies |
Actual harm |
Make sure that each resident's nutritional needs were met. |
| Health |
09/25/2006 |
Environmental Deficiencies |
Actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
09/25/2006 |
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 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the attending doctor orders special diets. |
| Health |
09/25/2006 |
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 |
09/25/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
09/25/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Try to resolve each resident's complaints quickly. |
| Health |
07/14/2006 |
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 |
07/14/2006 |
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 |
07/14/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
09/25/2006 |
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 |
09/25/2006 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
07/14/2006 |
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 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that staff members wash their hands when needed. |
| Health |
09/25/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Offer other nutritional food to each resident who will not eat the food served. |
| Inspection Results: May 25, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
08/03/2006 |
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 |
08/03/2006 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Inspection Results: July 20, 2005 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Inspection Results: July 14, 2005 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
08/22/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep a resident apart from the others if the resident has an infection that can spread. |
| Health |
08/22/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep temperature levels comfortable and safe. |
| Health |
08/22/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
08/22/2005 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that each resident's nutritional needs were met. |
| Health |
08/22/2005 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |