| Inspection Results: March 26, 2009 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
03/26/2009 |
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 |
03/26/2009 |
Corridor Walls and Doors Deficiencies |
Minimal harm or potential for actual harm |
corridor and hallway doors that block smoke. |
| Fire Safety |
04/14/2009 |
Laboratories Deficiencies |
Potential for minimal harm |
emergency showers. |
| Health |
04/19/2009 |
Quality Care Deficiencies |
Actual harm |
Give professional services that follow each resident's written care plan. |
| Health |
04/19/2009 |
Environmental Deficiencies |
Actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
03/26/2009 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
| Health |
03/26/2009 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Provide needed housekeeping and maintenance. |
| Health |
04/17/2009 |
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 |
03/26/2009 |
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 |
03/26/2009 |
Administration Deficiencies |
Minimal harm or potential for actual harm |
Give or get lab tests to meet the needs of residents. |
| Inspection Results: February 28, 2008 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
04/12/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that staff members wash their hands when needed. |
| Health |
04/12/2008 |
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 |
04/12/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that follow each resident's written care plan. |
| Health |
04/12/2008 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
04/12/2008 |
Environmental Deficiencies |
Minimal harm or potential for actual harm |
Make sure that the nursing home area is free of dangers that cause accidents. |
| Health |
04/12/2008 |
Pharmacy Service Deficiencies |
Minimal harm or potential for actual harm |
Properly mark drugs and other similar products. |
| Health |
04/12/2008 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
| Health |
04/12/2008 |
Resident Rights Deficiencies |
Potential for minimal harm |
Keep each resident's personal and medical records private and confidential. |
| Health |
04/12/2008 |
Environmental Deficiencies |
Potential for minimal harm |
Provide needed housekeeping and maintenance. |
| Inspection Results: January 17, 2007 |
|---|
| Type |
Corrected |
Category |
Severity |
Deficiency |
| Fire Safety |
No Issues Reported |
| Health |
02/26/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Make sure that residents are well nourished. |
| Health |
02/21/2007 |
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 |
02/26/2007 |
Nutrition and Dietary Deficiencies |
Minimal harm or potential for actual harm |
Store, cook, and give out food in a safe and clean way. |
| Health |
02/23/2007 |
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 |
02/01/2007 |
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 |
02/21/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that follow each resident's written care plan. |
| Health |
02/26/2007 |
Quality Care Deficiencies |
Minimal harm or potential for actual harm |
Give professional services that meet a professional standard of quality. |
| Health |
02/23/2007 |
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 |
01/23/2007 |
Mistreatment Deficiencies |
Minimal harm or potential for actual harm |
Keep each resident free from physical restraints, unless needed for medical treatment. |
