| Inspection Results: June 27, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
06/27/2007 |
Fire Alarm Systems Deficiencies |
Potential for minimal harm |
an approved installation, maintenance and testing program for fire alarm systems. |
| Fire Safety |
07/13/2007 |
Fire Alarm Systems Deficiencies |
Potential for minimal harm |
properly maintained smoke detectors. |
| Fire Safety |
07/17/2007 |
Smoke Compartmentation and Control Deficiencies |
Potential for minimal harm |
smoke barrier doors that can resist smoke for at least 20 minutes. |
| Fire Safety |
07/18/2007 |
Electrical Deficiencies |
Potential for minimal harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
07/17/2007 |
Hazardous Area Deficiencies |
Potential for minimal harm |
construction that can resist fire for one hour or an approved fire extinguishing system. |
| Fire Safety |
07/17/2007 |
Exits and Egress Deficiencies |
Potential for minimal harm |
exits that are accessible at all times. |
| Fire Safety |
07/27/2007 |
Furnishings and Decorations Deficiencies |
Potential for minimal harm |
properly sized and located linen or trash receptacles. |
| Fire Safety |
07/18/2007 |
Smoke Compartmentation and Control Deficiencies |
Potential for minimal harm |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
| Inspection Results: June 14, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
07/03/2007 |
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 |
07/05/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
07/12/2007 |
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 |
07/09/2007 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
07/10/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep safe, clean and homelike surroundings. |
| Health |
07/21/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents are well nourished. |
| Health |
07/09/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
07/05/2007 |
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 |
07/09/2007 |
Administration Deficiencies |
Potential for minimal harm |
post nurse staffing information. |
| Health |
07/10/2007 |
Resident Rights Deficiencies |
Potential for minimal harm |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
| Inspection Results: March 09, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
06/01/2006 |
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 |
06/01/2006 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Follow all laws and professional standards. |
| Health |
06/01/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
06/01/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
| Health |
06/01/2006 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
06/01/2006 |
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 |
06/01/2006 |
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 |
06/01/2006 |
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 |
06/01/2006 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
At least once a month, have a licensed pharmacist check the drugs that each resident takes. |
| Health |
06/01/2006 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident free from physical restraints, unless needed for medical treatment. |
| Health |
06/01/2006 |
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 |
06/01/2006 |
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 |
06/01/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
06/01/2006 |
Resident Assessment Deficiencies |
Potential for minimal harm |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
| Health |
06/01/2006 |
Environmental Deficiencies |
Potential for minimal harm |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
| Health |
06/01/2006 |
Environmental Deficiencies |
Potential for minimal harm |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. |
| Health |
06/01/2006 |
Environmental Deficiencies |
Potential for minimal harm |
Put firmly secured handrails on each side of hallways. |
| Inspection Results: March 08, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
04/28/2006 |
Exits and Egress Deficiencies |
Potential for minimal harm |
exits that are accessible at all times. |
| Fire Safety |
04/28/2006 |
Exits and Egress Deficiencies |
Potential for minimal harm |
large enough exits. |
| Fire Safety |
04/12/2006 |
Illumination and Emergency Power Deficiencies |
Potential for minimal harm |
properly located and lighted "Exit" signs. |
| Fire Safety |
04/28/2006 |
Furnishings and Decorations Deficiencies |
Potential for minimal harm |
properly sized and located linen or trash receptacles. |
| Fire Safety |
04/24/2006 |
Emergency Plans and Fire Drills Deficiencies |
Potential for minimal harm |
record of quarterly fire drills for each shift under varying conditions. |
| Fire Safety |
04/12/2006 |
Interior Finish Deficiencies |
Potential for minimal harm |
fire-resistant interior walls. |
| Fire Safety |
04/15/2006 |
Electrical Deficiencies |
Potential for minimal harm |
properly installed electrical wiring and equipment. |
| Fire Safety |
04/24/2006 |
Building Service Equipment Deficiencies |
Potential for minimal harm |
properly protected cooking facilities. |
| Fire Safety |
04/12/2006 |
Corridor Walls and Doors Deficiencies |
Potential for minimal harm |
signs that state that exit doors are to be kept closed. |
| Fire Safety |
04/28/2006 |
Electrical Deficiencies |
Potential for minimal harm |
weekly inspections and monthly testing of generators. |
| Inspection Results: December 02, 2004 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
01/14/2005 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
01/14/2005 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
01/14/2005 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
| Health |
01/19/2005 |
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 |
01/14/2005 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide services to meet the needs and preferences of each resident. |
| Health |
01/07/2005 |
Environmental Deficiencies |
Potential for minimal harm |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
| Inspection Results: December 01, 2004 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
12/01/2004 |
Smoke Compartmentation and Control Deficiencies |
Potential for minimal harm |
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. |
| Fire Safety |
12/01/2004 |
Medical Gases and Anesthetizing Areas Deficiencies |
Potential for minimal harm |
proper medical gas storage and administration areas. |