| Inspection Results: December 20, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
02/03/2008 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
12/20/2007 |
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 |
12/20/2007 |
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 |
02/03/2008 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
properly located and lighted "Exit" signs. |
| Fire Safety |
01/14/2008 |
Furnishings and Decorations Deficiencies |
Minimal harm or potential for actual harm |
restrictions on the use of flammable curtains. |
| Health |
02/03/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
02/03/2008 |
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 |
02/03/2008 |
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 |
02/03/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
02/03/2008 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
02/03/2008 |
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 |
02/03/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
02/03/2008 |
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 |
02/03/2008 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents are well nourished. |
| Health |
02/03/2008 |
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 |
02/03/2008 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide services to meet the needs and preferences of each resident. |
| Inspection Results: October 16, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
12/01/2006 |
Quality Care Deficiencies |
Actual harm |
Give each resident care and services to get or keep the highest quality of life possible. |
| Health |
12/01/2006 |
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 |
12/01/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
12/01/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
12/01/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. |
| Health |
12/01/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. |
| Health |
12/01/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Provide activities to meet the needs of each resident. |
| Health |
12/01/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide services to meet the needs and preferences of each resident. |
| Inspection Results: October 20, 2005 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Inspection Results: October 11, 2005 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
11/28/2005 |
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 |
11/28/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
11/28/2005 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
11/28/2005 |
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 |
11/28/2005 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
11/28/2005 |
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 |
11/28/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that staff members wash their hands when needed. |
| Health |
11/28/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
11/28/2005 |
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 |
11/28/2005 |
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. |
| Health |
11/28/2005 |
Administration Deficiencies |
Potential for minimal harm |
Keep accurate and appropriate medical records. |