| Inspection Results: January 08, 2008 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
02/22/2008 |
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 |
02/22/2008 |
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 |
02/22/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
02/22/2008 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. |
| Health |
02/22/2008 |
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 |
02/22/2008 |
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 |
02/22/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
02/22/2008 |
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. |
| Health |
02/22/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Provide activities to meet the needs of each resident. |
| Health |
02/22/2008 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Set up or keep a group of people to review and ensure quality. |
| Health |
02/22/2008 |
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 |
02/22/2008 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident free from physical restraints, unless needed for medical treatment. |
| Health |
02/22/2008 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident's personal and medical records private and confidential. |
| Health |
02/22/2008 |
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 |
02/22/2008 |
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 |
02/22/2008 |
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 |
02/22/2008 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Properly mark drugs and other similar products. |
| Health |
02/22/2008 |
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 |
02/22/2008 |
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: October 04, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
11/18/2006 |
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 |
11/18/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
10/04/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. |
| Health |
11/18/2006 |
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 |
11/18/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
11/18/2006 |
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 |
11/18/2006 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. |
| Health |
11/18/2006 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
11/18/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Let the resident refuse treatment or refuse to take part in an experiment. |
| Health |
11/18/2006 |
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. |
| Health |
11/18/2006 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Set up or keep a group of people to review and ensure quality. |
| Health |
11/18/2006 |
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: September 07, 2005 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
10/05/2005 |
Resident Rights Deficiencies |
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 |
10/05/2005 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
| Health |
10/20/2005 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. |
| Health |
09/07/2005 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Keep assessments completed in the preceding 15 months in the resident's active record. |
| Health |
10/04/2005 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Properly mark drugs and other similar products. |
| Health |
09/07/2005 |
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. |