| Inspection Results: February 07, 2008 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
03/21/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that staff members wash their hands when needed. |
| Health |
03/21/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
03/21/2008 |
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 |
03/21/2008 |
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. |
| Inspection Results: January 17, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
03/13/2007 |
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 |
03/13/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
03/13/2007 |
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 |
03/13/2007 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
| Health |
04/10/2007 |
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 |
03/13/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
03/13/2007 |
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 |
04/10/2007 |
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 |
03/13/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. |
| Health |
03/13/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
03/13/2007 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Properly mark drugs and other similar products. |
| Health |
03/05/2007 |
Environmental Deficiencies |
Potential for minimal harm |
Keep safe, clean and homelike surroundings. |
| Health |
03/05/2007 |
Environmental Deficiencies |
Potential for minimal harm |
Provide needed housekeeping and maintenance. |
| Inspection Results: May 11, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
05/23/2006 |
Quality Care Deficiencies |
Immediate jeopardy to resident health or safety |
Give each resident care and services to get or keep the highest quality of life possible. |
| Health |
06/30/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
06/30/2006 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
| Health |
06/30/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
06/30/2006 |
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 |
06/30/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
06/30/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
06/30/2006 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Develop a plan with the resident and family for the resident's care after leaving the nursing home. |
| Health |
06/30/2006 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Get services outside the nursing home that meet professional standards. |
| Health |
06/30/2006 |
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 |
06/30/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. |
| Health |
06/30/2006 |
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 |
06/30/2006 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Quickly tell the resident's doctor the results of lab tests. |
| Health |
06/30/2006 |
Nutrition and Dietary Deficiencies |
Potential for minimal harm |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
| Health |
06/30/2006 |
Resident Rights Deficiencies |
Potential for minimal 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. |
| Inspection Results: May 04, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
06/30/2006 |
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 |
06/30/2006 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
proper backup exit lighting. |
| Fire Safety |
n/a |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
06/30/2006 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
06/30/2006 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
exits that are accessible at all times. |
| Fire Safety |
06/30/2006 |
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 |
05/31/2006 |
Emergency Plans and Fire Drills Deficiencies |
Potential for minimal harm |
record of quarterly fire drills for each shift under varying conditions. |