| Administration |
| Deficiency | Scope | Level of Harm |
| Train all employees on what to do in an emergency. |
Widespread |
Minimal harm or potential for actual harm |
| Give or get lab tests to meet the needs of residents. |
Pattern |
Minimal harm or potential for actual harm |
| Give or get x-rays and other tests to meet the needs of residents. |
Pattern |
Minimal harm or potential for actual harm |
| Give lab tests only when the attending doctor ordered them. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental |
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary |
| Deficiency | Scope | Level of Harm |
| Offer other nutritional food to each resident who will not eat the food served. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service |
| Deficiency | Scope | Level of Harm |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. |
Pattern |
Minimal harm or potential for actual harm |
| Properly mark drugs and other similar products. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care |
| Deficiency | Scope | Level of Harm |
| Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| Administration |
| Deficiency | Scope | Level of Harm |
| Train all employees on what to do in an emergency. |
Isolated |
Minimal harm or potential for actual harm |
| Keep complete, dated lab records in the resident's file. |
Isolated |
Minimal harm or potential for actual harm |
| Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental |
| Deficiency | Scope | Level of Harm |
| Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Pattern |
Minimal harm or potential for actual harm |
| Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| Mistreatment |
| Deficiency | Scope | Level of Harm |
| Keep each resident free from physical restraints, unless needed for medical treatment. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary |
| Deficiency | Scope | Level of Harm |
| Provide food in a way that meets a resident's needs. |
Pattern |
Minimal harm or potential for actual harm |
| Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service |
| Deficiency | Scope | Level of Harm |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. |
Pattern |
Minimal harm or potential for actual harm |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care |
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights |
| Deficiency | Scope | Level of Harm |
| Make sure that private space is available in the nursing home for resident groups or residents' families to meet. |
Pattern |
Minimal harm or potential for actual harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |