| Inspection Results: August 13, 2007 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
10/12/2007 |
Quality Care Deficiencies |
Actual harm |
Provide activities to meet the needs of each resident. |
| Health |
10/12/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
10/12/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
| Health |
10/12/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
10/12/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
10/12/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have enough outside airflow. |
| Health |
10/12/2007 |
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. |
| Inspection Results: August 01, 2007 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
10/01/2007 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
10/01/2007 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
10/01/2007 |
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 |
10/01/2007 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
rooms that can be unlocked from inside without a key. |
| Fire Safety |
10/01/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
10/01/2007 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper medical gas storage and administration areas. |
| Fire Safety |
10/01/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Inspection Results: August 08, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
09/30/2006 |
Mistreatment Deficiencies |
Immediate jeopardy to resident health or safety |
Protect each resident from all abuse, physical punishment, and being separated from others. |
| Health |
09/30/2006 |
Quality Care Deficiencies |
Actual harm |
Give each resident care and services to get or keep the highest quality of life possible. |
| Health |
09/30/2006 |
Mistreatment Deficiencies |
Actual harm |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
| Health |
09/30/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
09/30/2006 |
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 |
09/30/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
| Inspection Results: August 03, 2006 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
10/11/2006 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
10/11/2006 |
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 |
10/11/2006 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Fire Safety |
10/11/2006 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
rooms that can be unlocked from inside without a key. |
| Fire Safety |
10/11/2006 |
Smoke Compartmentation and Control Deficiencies |
Minimal harm or potential for actual harm |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
| Inspection Results: August 09, 2005 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
11/01/2005 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
11/01/2005 |
Building Service Equipment Deficiencies |
Minimal harm or potential for actual harm |
heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| Fire Safety |
11/01/2005 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
| Fire Safety |
11/01/2005 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
proper backup exit lighting. |
| Fire Safety |
11/01/2005 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper medical gas storage and administration areas. |
| Fire Safety |
11/01/2005 |
Fire Alarm Systems Deficiencies |
Potential for minimal harm |
an approved back-up procedure for a faulty fire alarm system. |
| Fire Safety |
11/01/2005 |
Automatic Sprinkler Systems Deficiencies |
Potential for minimal harm |
back-up procedures in place for a faulty automatic sprinkler system. |
| Inspection Results: August 03, 2005 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
10/03/2005 |
Quality Care Deficiencies |
Actual harm |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
| Health |
10/03/2005 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
10/03/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
10/03/2005 |
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 |
11/01/2005 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
10/03/2005 |
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 |
10/03/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that staff members wash their hands when needed. |
| Health |
10/03/2005 |
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. |
