| Inspection Results: August 14, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
11/12/2007 |
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 |
11/12/2007 |
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 |
09/27/2007 |
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 |
09/27/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give or get dental care for each resident. |
| Health |
09/27/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
11/12/2007 |
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 |
09/27/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
09/27/2007 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident free from physical restraints, unless needed for medical treatment. |
| Health |
09/27/2007 |
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. |
| Inspection Results: August 09, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
09/27/2007 |
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. |
| Fire Safety |
09/27/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
09/27/2007 |
Vertical Openings Deficiencies |
Minimal harm or potential for actual harm |
exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. |
| Fire Safety |
09/27/2007 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper medical gas storage and administration areas. |
| Inspection Results: June 28, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
08/23/2006 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
exits that are accessible at all times. |
| Fire Safety |
08/23/2006 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
08/24/2006 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
08/23/2006 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
properly constructed windows in hallway walls or doors. |
| Inspection Results: June 22, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
08/23/2006 |
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 |
08/23/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
08/23/2006 |
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 |
08/23/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
08/23/2006 |
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 |
08/23/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that staff members wash their hands when needed. |
| Health |
08/23/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
08/23/2006 |
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 |
08/23/2006 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide services to meet the needs and preferences of each resident. |
| Health |
08/08/2006 |
Environmental Deficiencies |
Potential for minimal harm |
Have enough backup water supply for important areas of the nursing home. |
| Health |
08/08/2006 |
Resident Rights Deficiencies |
Potential for minimal harm |
Send and promptly deliver unopened mail to residents. |
| Health |
08/08/2006 |
Nutrition and Dietary Deficiencies |
Potential for minimal harm |
Store, cook, and give out food in a safe and clean way. |
| Inspection Results: April 01, 2005 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
05/05/2005 |
Quality Care Deficiencies |
Actual harm |
Give each resident care and services to get or keep the highest quality of life possible. |
| Health |
05/05/2005 |
Quality Care Deficiencies |
Actual harm |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
| Health |
05/06/2005 |
Quality Care Deficiencies |
Actual harm |
Make sure that each resident's nutritional needs were met. |
| Health |
05/05/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
05/05/2005 |
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 |
05/05/2005 |
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 |
05/06/2005 |
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 |
05/06/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
05/06/2005 |
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 |
05/05/2005 |
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 |
05/05/2005 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident's personal and medical records private and confidential. |
| Health |
05/06/2005 |
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 |
05/05/2005 |
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 |
05/06/2005 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
| Health |
05/05/2005 |
Environmental Deficiencies |
Potential for minimal harm |
Keep safe, clean and homelike surroundings. |
| Health |
05/05/2005 |
Environmental Deficiencies |
Potential for minimal harm |
Get rid of garbage properly. |
| Inspection Results: March 30, 2005 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
05/03/2005 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
05/03/2005 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved back-up procedure for a faulty fire alarm system. |
| Fire Safety |
05/03/2005 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
back-up procedures in place for a faulty automatic sprinkler system. |
| Fire Safety |
05/03/2005 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridor and hallway doors that block smoke. |
| Fire Safety |
05/03/2005 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
corridors or aisles that are unobstructed and are at least 8 feet in width. |
| Fire Safety |
05/16/2005 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
exits that are accessible at all times. |
| Fire Safety |
05/03/2005 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
no-smoking signs where oxygen is used. |
| Fire Safety |
05/03/2005 |
Furnishings and Decorations Deficiencies |
Minimal harm or potential for actual harm |
properly sized and located linen or trash receptacles. |