| 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 |
| Nutrition and Dietary |
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. |
Widespread |
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 |
| 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 |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
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 |
| Automatic Sprinkler Systems |
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. |
Widespread |
Minimal harm or potential for actual harm |
| an approved automatic sprinkler system connected to the fire alarm system. |
Isolated |
Minimal harm or potential for actual harm |
| Exits and Egress |
| Deficiency | Scope | Level of Harm |
| exits that are accessible at all times. |
Isolated |
Minimal harm or potential for actual harm |
| Smoking Regulations |
| Deficiency | Scope | Level of Harm |
| posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
Widespread |
Minimal harm or potential for actual harm |