| September 20, 2012 |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Keep residents' personal and medical records private and confidential. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Reasonably accommodate the needs and preferences of each resident. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Ensure each resident receives an accurate assessment by a qualified health professional. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Allow residents the right to participate in the planning or revision of care and treatment. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Store, cook, and serve food in a safe and clean way. |
Widespread |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Have a program that investigates, controls and keeps infection from spreading. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Put firmly secured handrails on each side of hallways. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 20, 2012 |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 18, 2012 |
Walls that prevent smoke from passing through and would resist fire for at least one hour. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 18, 2012 |
Automatic sprinkler systems that have been maintained in working order. |
Widespread |
No actual harm but with potential for more than minimal harm |
| September 18, 2012 |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| September 18, 2012 |
Proper medical gas storage and administration areas. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| July 20, 2012 |
Provide care by qualified persons according to each resident's written plan of care. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2012 |
Keep residents' personal and medical records private and confidential. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2012 |
Provide necessary care and services to maintain or improve the highest well being of each resident . |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 30, 2011 |
Provide timely notification to the resident before transfer or discharge. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 30, 2011 |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 30, 2011 |
Allow residents the right to participate in the planning or revision of care and treatment. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 30, 2011 |
Provide necessary care and services to maintain or improve the highest well being of each resident . |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 30, 2011 |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 30, 2011 |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. |
Pattern |
Immediate jeopardy to resident health or safety |
| June 30, 2011 |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 30, 2011 |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
Widespread |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 30, 2011 |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Fire resistant room wall surfaces. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Corridor and hallway doors that block smoke. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Walls that prevent smoke from passing through and would resist fire for at least one hour. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Smoke barrier doors that can resist smoke for at least 20 minutes. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. |
Widespread |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Exits that are accessible at all times. |
Widespread |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Emergency lighting that can last at least 1 1/2 hours. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Automatic sprinkler systems that have been maintained in working order. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
An externally vented heating system. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Proper power supply for life support equipment. |
Widespread |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| June 29, 2011 |
Properly installed electrical wiring and equipment. |
Widespread |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| November 9, 2010 |
Provide residents with private access to a telephone. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| November 9, 2010 |
Completely assess the resident at least every twelve months. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| November 9, 2010 |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| November 9, 2010 |
Allow residents the right to participate in the planning or revision of care and treatment. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| July 14, 2010 |
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| July 14, 2010 |
Have a program that investigates, controls and keeps infection from spreading. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Provide activities to meet the interests and needs of each resident. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Provide housekeeping and maintenance services. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Ensure each resident receives an accurate assessment by a qualified health professional. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Provide care by qualified persons according to each resident's written plan of care. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Provide necessary care and services to maintain or improve the highest well being of each resident . |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Store, cook, and serve food in a safe and clean way. |
Pattern |
Immediate jeopardy to resident health or safety |
| April 1, 2010 |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| April 1, 2010 |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
Widespread |
No actual harm but with potential for more than minimal harm |
| April 1, 2010 |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. |
Isolated |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| March 31, 2010 |
Walls that prevent smoke from passing through and would resist fire for at least one hour. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |
| March 31, 2010 |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. |
Pattern |
No actual harm but with potential for more than
minimal harm that is not immediate jeopardy |