| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Immediate jeopardy to resident health or safety |
10/21/03 |
| Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
|
|
|
|
|
Pattern |
Actual harm |
07/16/04 |
| Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
|
|
|
|
|
Isolated |
Actual harm |
09/01/04 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Actual harm |
03/15/05 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Actual harm |
10/21/03 |
| Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
|
|
|
|
|
Isolated |
Actual harm |
11/30/04 |
| Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
|
|
|
|
|
Isolated |
Actual harm |
10/21/03 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Actual harm |
07/16/04 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Actual harm |
09/01/04 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Actual harm |
09/01/04 |
| Quality Care Deficiencies |
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
|
|
|
|
|
Isolated |
Actual harm |
11/30/04 |
| Quality Care Deficiencies |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
|
|
|
|
|
Widespread |
Minimal harm or potential for actual harm |
09/01/04 |
| Environmental Deficiencies |
Keep all essential equipment working safely. |
|
|
|
|
|
Widespread |
Minimal harm or potential for actual harm |
07/16/04 |
| Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
10/21/03 |
| Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
11/30/04 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
03/15/05 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
09/01/04 |
| Quality Care Deficiencies |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/28/03 |
| Quality Care Deficiencies |
Use a registered nurse at least 8 hours a day, 7 days a week. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
10/21/03 |
| Resident Rights Deficiencies |
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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/21/03 |
| Administration Deficiencies |
Follow rules about ownership or tell the state agency about changes in administrative personnel. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/21/03 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/16/04 |
| Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
09/01/04 |
| Mistreatment Deficiencies |
Protect each resident from all abuse, physical punishment, and being separated from others. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/21/03 |
| Pharmacy Service Deficiencies |
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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
09/03/02 |
| Pharmacy Service Deficiencies |
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/28/03 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/18/05 |
| Quality Care Deficiencies |
Give or get special rehabilitation if in the patient's plan of care. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/16/04 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/21/03 |
| Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/21/03 |
| Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/21/03 |
| Resident Assessment Deficiencies |
Do a new assessment after any major change in a resident's physical or mental health. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
11/30/04 |
| Resident Rights Deficiencies |
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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
03/15/05 |
| Resident Rights Deficiencies |
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. |
|
|
|
|
|
Widespread |
Potential for minimal harm |
09/01/04 |
| Environmental Deficiencies |
Provide clean bed and bath linens that are in good condition. |
|
|
|
No inspection results have been reported.