| Inspection Results: February 25, 2009 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
04/11/2009 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved back-up procedure for a faulty fire alarm system. |
| Fire Safety |
04/11/2009 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved installation, maintenance and testing program for fire alarm systems. |
| Fire Safety |
04/11/2009 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
back-up procedures in place for a faulty automatic sprinkler system. |
| Fire Safety |
04/11/2009 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridor and hallway doors that block smoke. |
| Fire Safety |
04/11/2009 |
Emergency Plans and Fire Drills Deficiencies |
Minimal harm or potential for actual harm |
did not have a written emergency evacuation plan. |
| Fire Safety |
04/11/2009 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
exits that are accessible at all times. |
| Fire Safety |
04/11/2009 |
Furnishings and Decorations Deficiencies |
Minimal harm or potential for actual harm |
exits that are free from obstructions and can be used at all times. |
| Fire Safety |
04/11/2009 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
have an adequate water supply for the sprinkler system. |
| Fire Safety |
04/11/2009 |
Building Service Equipment Deficiencies |
Minimal harm or potential for actual harm |
heating and ventilation systems that have been properly installed according to the manufacturer's instructions. |
| Fire Safety |
04/11/2009 |
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 |
04/11/2009 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
| Fire Safety |
04/11/2009 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
proper backup exit lighting. |
| Fire Safety |
04/11/2009 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
properly maintained smoke detectors. |
| Fire Safety |
04/11/2009 |
Smoke Compartmentation and Control Deficiencies |
Minimal harm or potential for actual harm |
smoke barrier doors that can resist smoke for at least 20 minutes. |
| Fire Safety |
04/11/2009 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
04/11/2009 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
portable fire extinguishers. |
| Fire Safety |
04/11/2009 |
Smoking Regulations Deficiencies |
Minimal harm or potential for actual harm |
posted ""No-smoking"" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
| Fire Safety |
04/11/2009 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper fire barriers, ventilation and signs for the transport of oxygen. |
| Fire Safety |
04/11/2009 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Fire Safety |
04/11/2009 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
properly located and lighted ""Exit"" signs. |
| Fire Safety |
04/11/2009 |
Building Service Equipment Deficiencies |
Minimal harm or potential for actual harm |
properly protected cooking facilities. |
| Fire Safety |
04/11/2009 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Inspection Results: January 14, 2009 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
02/13/2009 |
Environmental Deficiencies |
Actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
02/13/2009 |
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 |
02/13/2009 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Inspection Results: February 22, 2008 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Health |
03/06/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Inspection Results: February 19, 2008 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
03/28/2008 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
automatic sprinkler systems that have been maintained in working order. |
| Fire Safety |
03/28/2008 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridor and hallway doors that block smoke. |
| Fire Safety |
03/28/2008 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
have an adequate water supply for the sprinkler system. |
| Fire Safety |
03/28/2008 |
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 |
05/05/2008 |
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 |
03/28/2008 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved automatic sprinkler system connected to the fire alarm system. |
| Fire Safety |
03/28/2008 |
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 |
03/28/2008 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridors that are separated from common areas by walls constructed to limit the passage of smoke. |
| Fire Safety |
03/28/2008 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
exits that are accessible at all times. |
| Fire Safety |
03/28/2008 |
Illumination and Emergency Power Deficiencies |
Minimal harm or potential for actual harm |
proper backup exit lighting. |
| Fire Safety |
03/28/2008 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper medical gas storage and administration areas. |
| Inspection Results: January 25, 2007 |
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
02/20/2007 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
an approved back-up procedure for a faulty fire alarm system. |
| Fire Safety |
02/20/2007 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
back-up procedures in place for a faulty automatic sprinkler system. |
| Fire Safety |
02/20/2007 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridor and hallway doors that block smoke. |
| Fire Safety |
02/20/2007 |
Exits and Egress Deficiencies |
Minimal harm or potential for actual harm |
exits that are accessible at all times. |
| Fire Safety |
02/20/2007 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
properly maintained smoke detectors. |
| Fire Safety |
05/31/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
weekly inspections and monthly testing of generators. |
| Fire Safety |
02/20/2007 |
Automatic Sprinkler Systems Deficiencies |
Minimal harm or potential for actual harm |
portable fire extinguishers. |
| Fire Safety |
02/20/2007 |
Fire Alarm Systems Deficiencies |
Minimal harm or potential for actual harm |
a fire alarm system that can be heard throughout the facility. |
| Fire Safety |
02/20/2007 |
Medical Gases and Anesthetizing Areas Deficiencies |
Minimal harm or potential for actual harm |
proper fire barriers, ventilation and signs for the transport of oxygen. |
| Fire Safety |
02/02/2007 |
Electrical Deficiencies |
Minimal harm or potential for actual harm |
properly installed electrical wiring and equipment. |
| Fire Safety |
02/20/2007 |
Building Service Equipment Deficiencies |
Minimal harm or potential for actual harm |
properly protected cooking facilities. |
| Health |
02/15/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
02/15/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
02/15/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Have a program to keep infection from spreading. |
| Health |
02/15/2007 |
Resident Rights Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident's personal and medical records private and confidential. |
| Health |
02/15/2007 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
02/15/2007 |
Administration Deficiencies |
Potential for minimal harm |
Get proof that a nurse aide has the training and skills that the State requires. |