| Inspection Results: May 08, 2008 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
06/19/2008 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved installation, maintenance and testing program for fire alarm systems. |
| Fire Safety |
06/19/2008 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
properly maintained smoke detectors. |
| Fire Safety |
06/19/2008 |
Exits and Egress Deficiencies |
Potential for minimal harm |
exits that are accessible at all times. |
| Fire Safety |
06/19/2008 |
Electrical Deficiencies |
Potential for minimal harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
06/19/2008 |
Corridor Walls and Doors Deficiencies |
Potential for minimal harm |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
| Fire Safety |
06/19/2008 |
Automatic Sprinkler Systems Deficiencies |
Potential for minimal harm |
portable fire extinguishers. |
| Fire Safety |
06/19/2008 |
Emergency Plans and Fire Drills Deficiencies |
Potential for minimal harm |
record of quarterly fire drills for each shift under varying conditions. |
| Health |
06/19/2008 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Follow all laws and professional standards. |
| Health |
06/19/2008 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
06/19/2008 |
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 |
06/19/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that follow each resident's written care plan. |
| Health |
06/19/2008 |
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 |
06/19/2008 |
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 |
06/19/2008 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Properly mark drugs and other similar products. |
| Health |
06/19/2008 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Do a new assessment after any major change in a resident's physical or mental health. |
| Health |
06/19/2008 |
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 |
06/19/2008 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Give or get lab tests to meet the needs of residents. |
| Health |
06/19/2008 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
06/19/2008 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Make sure that doctors visit residents regularly, as required. |
| Health |
06/19/2008 |
Resident Rights Deficiencies |
Potential for minimal harm |
Allow residents to easily see the results of the nursing home's most recent survey. |
| Health |
06/19/2008 |
Environmental Deficiencies |
Potential for minimal harm |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
| Health |
06/19/2008 |
Administration Deficiencies |
Potential for minimal harm |
post nurse staffing information. |
| Health |
06/19/2008 |
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. |
| Health |
06/19/2008 |
Resident Rights Deficiencies |
Potential for minimal harm |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
| Inspection Results: September 20, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
10/12/2007 |
Medical Gases and Anesthetizing Areas Deficiencies |
Potential for minimal harm |
proper medical gas storage and administration areas. |
| Fire Safety |
10/12/2007 |
Vertical Openings Deficiencies |
Potential for minimal harm |
protected exits that allow the resident to escape the building. |
| Fire Safety |
10/12/2007 |
Corridor Walls and Doors Deficiencies |
Potential for minimal harm |
signs that state that exit doors are to be kept closed. |
| Fire Safety |
10/12/2007 |
Electrical Deficiencies |
Potential for minimal harm |
weekly inspections and monthly testing of generators. |
| Inspection Results: August 30, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
10/25/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
10/25/2007 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Keep accurate and appropriate medical records. |
| Health |
10/25/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Let each resident choose whether to manage his or her own money or deposit it with the nursing home. |
| Health |
10/25/2007 |
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. |
| Health |
10/25/2007 |
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 |
10/25/2007 |
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 |
10/25/2007 |
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 |
10/25/2007 |
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 |
10/25/2007 |
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 |
10/25/2007 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Do a new assessment after any major change in a resident's physical or mental health. |
| Health |
10/25/2007 |
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 |
10/25/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Give the resident's legal representative the same rights as the resident. |
| Health |
10/25/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident's personal and medical records private and confidential. |
| Health |
10/25/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Let the resident refuse treatment or refuse to take part in an experiment. |
| Health |
10/25/2007 |
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 |
10/25/2007 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Make sure that doctors visit residents regularly, as required. |
| Health |
10/25/2007 |
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. |
| Health |
10/25/2007 |
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 |
10/25/2007 |
Nutrition and Dietary Deficiencies |
Potential for minimal harm |
Make sure that residents are well nourished. |
| Inspection Results: May 18, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
07/05/2006 |
Corridor Walls and Doors Deficiencies |
Potential for minimal harm |
signs that state that exit doors are to be kept closed. |
| Fire Safety |
07/05/2006 |
Electrical Deficiencies |
Potential for minimal harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
07/05/2006 |
Building Service Equipment Deficiencies |
Potential for minimal harm |
an elevator that firefighters can control in the event of a fire. |
| Fire Safety |
07/05/2006 |
Automatic Sprinkler Systems Deficiencies |
Potential for minimal harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
07/05/2006 |
Hazardous Area Deficiencies |
Potential for minimal harm |
construction that can resist fire for one hour or an approved fire extinguishing system. |
| Fire Safety |
07/05/2006 |
Exits and Egress Deficiencies |
Potential for minimal harm |
exits that are accessible at all times. |
| Fire Safety |
07/05/2006 |
Medical Gases and Anesthetizing Areas Deficiencies |
Potential for minimal harm |
proper medical gas storage and administration areas. |
| Fire Safety |
07/05/2006 |
Illumination and Emergency Power Deficiencies |
Potential for minimal harm |
properly located and lighted "Exit" signs. |
| Fire Safety |
07/05/2006 |
Emergency Plans and Fire Drills Deficiencies |
Potential for minimal harm |
record of quarterly fire drills for each shift under varying conditions. |
| Inspection Results: May 11, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
06/29/2006 |
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 |
06/29/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep temperature levels comfortable and safe. |
| Health |
06/29/2006 |
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 |
06/29/2006 |
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 |
06/29/2006 |
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 |
06/29/2006 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
06/29/2006 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep sound levels comfortable. |
| Health |
06/29/2006 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Properly mark drugs and other similar products. |
| Health |
06/29/2006 |
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. |