| Administration |
| Deficiency | Scope | Level of 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 |
| 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 |
| 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. |
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 |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Pattern |
Minimal harm or potential for actual harm |
| Give each resident a special diet to help when there is a nutritional problem. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment |
| Deficiency | Scope | Level of Harm |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Pattern |
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. |
Isolated |
Minimal harm or potential for actual harm |
| Environmental |
| Deficiency | Scope | Level of Harm |
| Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Have a program to keep infection from spreading. |
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 |
| Make sure that residents are well nourished. |
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 |
| Quality Care |
| Deficiency | Scope | Level of Harm |
| Make sure that each resident's nutritional needs were met. |
Isolated |
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 |
| Resident Rights |
| Deficiency | Scope | Level of Harm |
| Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| Administration |
| Deficiency | Scope | Level of 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 |
| Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| Make sure that staff members wash their hands when needed. |
Isolated |
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 |
| Make sure that residents are well nourished. |
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 |
| Properly mark drugs and other similar products. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care |
| Deficiency | Scope | Level of Harm |
| Give each resident a special diet to help when there is a nutritional problem. |
Isolated |
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 |
| Resident Rights |
| Deficiency | Scope | Level of Harm |
| Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 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 |
| Have a private telephone available for use. |
Widespread |
Potential for minimal harm |