| Inspection Results: July 11, 2008 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
08/20/2008 |
Quality Care Deficiencies |
Actual harm |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
| Health |
08/26/2008 |
Environmental Deficiencies |
Actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
08/20/2008 |
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 |
08/20/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give or get special rehabilitation if in the patient's plan of care. |
| Health |
08/20/2008 |
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 |
08/20/2008 |
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 |
08/20/2008 |
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 |
08/20/2008 |
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 |
08/19/2008 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Provide services to meet the needs and preferences of each resident. |
| Health |
08/20/2008 |
Mistreatment Deficiencies |
Potential for minimal harm |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
| Inspection Results: July 10, 2008 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
08/20/2008 |
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 |
08/20/2008 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
08/20/2008 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridor and hallway doors that block smoke. |
| Fire Safety |
08/20/2008 |
Laboratories Deficiencies |
Minimal harm or potential for actual harm |
proper facilities for the use and storage of combustible liquids. |
| Fire Safety |
08/20/2008 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper fire barriers, ventilation and signs for the transport of oxygen. |
| Inspection Results: July 09, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
08/23/2007 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
07/31/2007 |
Emergency Plans and Fire Drills Deficiencies |
Minimal harm or potential for actual harm |
record of quarterly fire drills for each shift under varying conditions. |
| Fire Safety |
08/03/2007 |
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 |
07/31/2007 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
proper backup exit lighting. |
| Fire Safety |
10/01/2007 |
Building Service Equipment Deficiencies |
Minimal harm or potential for actual harm |
properly protected cooking facilities. |
| Fire Safety |
08/23/2007 |
Automatic Sprinkler Systems Deficiencies |
Potential for minimal harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Inspection Results: June 07, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
09/11/2007 |
Quality Care Deficiencies |
Actual harm |
Give each resident care and services to get or keep the highest quality of life possible. |
| Health |
09/11/2007 |
Quality Care Deficiencies |
Actual harm |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
| Health |
09/11/2007 |
Environmental Deficiencies |
Actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
09/11/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Keep safe, clean and homelike surroundings. |
| Health |
08/07/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. |
| Health |
09/11/2007 |
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 |
09/11/2007 |
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 |
09/11/2007 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident free from physical restraints, unless needed for medical treatment. |
| Health |
07/20/2007 |
Mistreatment Deficiencies |
Potential for minimal 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 |
07/20/2007 |
Quality Care Deficiencies |
Potential for minimal harm |
Use a registered nurse at least 8 hours a day, 7 days a week. |
| Health |
07/20/2007 |
Resident Rights Deficiencies |
Potential for minimal harm |
Provide services to meet the needs and preferences of each resident. |
| Inspection Results: August 02, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
08/31/2006 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved back-up procedure for a faulty fire alarm system. |
| Fire Safety |
08/31/2006 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
back-up procedures in place for a faulty automatic sprinkler system. |
| Fire Safety |
08/02/2006 |
Automatic Sprinkler Systems Deficiencies |
Potential for minimal harm |
automatic sprinkler systems that have been maintained in working order. |
| Inspection Results: July 27, 2006 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
10/16/2006 |
Environmental Deficiencies |
Actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
08/27/2006 |
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 |
08/27/2006 |
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 |
10/16/2006 |
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 |
08/27/2006 |
Resident Assessment Deficiencies |
Minimal harm or potential for actual harm |
Make sure that doctors visit residents regularly, as required. |
| Health |
08/27/2006 |
Environmental Deficiencies |
Potential for minimal harm |
Keep safe, clean and homelike surroundings. |