| Administration |
| Deficiency | Scope | Level of Harm |
| Make sure that nurse aides show they have the skills to be able to care for residents. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental |
| Deficiency | Scope | Level of Harm |
| Keep all essential equipment working safely. |
Pattern |
Minimal harm or potential for actual harm |
| Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Potential for minimal harm |
| Pharmacy Service |
| Deficiency | Scope | Level of Harm |
| Properly mark drugs and other similar products. |
Isolated |
Minimal harm or potential for actual harm |
| 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 |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care |
| Deficiency | Scope | Level of Harm |
| offer Flu or Pneumococal vaccine to some residents. |
Pattern |
Minimal harm or potential for actual 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 |
| Provide services to meet the needs and preferences of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| Try to resolve each resident's complaints quickly. |
Isolated |
Minimal harm or potential for actual harm |
| Administration |
| Deficiency | Scope | Level of Harm |
| Make sure that nurse aides show they have the skills to be able to care for residents. |
Pattern |
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 |
| Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental |
| Deficiency | Scope | Level of Harm |
| Keep all essential equipment working safely. |
Pattern |
Minimal harm or potential for actual harm |
| Have a program to keep infection from spreading. |
Pattern |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. |
Isolated |
Minimal harm or potential for actual harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service |
| Deficiency | Scope | Level of Harm |
| Properly mark drugs and other similar products. |
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 |
| 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 |
| Quality Care |
| Deficiency | Scope | Level of Harm |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
Pattern |
Minimal harm or potential for actual harm |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
Pattern |
Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
Isolated |
Minimal harm or potential for actual harm |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
Isolated |
Minimal harm or potential for actual harm |
| Administration |
| Deficiency | Scope | Level of Harm |
| Make sure that nurse aides show they have the skills to be able to care for residents. |
Pattern |
Minimal harm or potential for actual harm |
| Mistreatment |
| Deficiency | Scope | Level of Harm |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. |
Pattern |
Minimal harm or potential for actual harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
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. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care |
| Deficiency | Scope | Level of Harm |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment |
| Deficiency | Scope | Level of Harm |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Pattern |
Potential for minimal harm |
| Keep assessments completed in the preceding 15 months in the resident's active record. |
Pattern |
Potential for minimal harm |