| Survey Date | Date of Correction | Category | Description | Scope | Level of Harm |
| 09-18-09 | | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | Some | 2 |
| 09-18-09 | | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Some | 2 |
| 09-18-09 | | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Few | 2 |
| 09-18-09 | | Resident Rights Deficiencies | Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality. | Some | 2 |
| 09-18-09 | | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Few | 2 |
| 09-18-09 | | Environmental Deficiencies | Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents. | Few | 2 |
| 09-18-09 | | Pharmacy Service Deficiencies | 1) Make sure that each resident's drug regimen is free from unnecessary drugs',' 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being. | Few | 2 |
| 09-18-09 | | Administration Deficiencies | Post nurse staffing information/data on a daily basis. | Some | 1 |
| 09-18-09 | | Environmental Deficiencies | Dispose of garbage and refuse properly. | Some | 1 |
| 09-18-09 | | Resident Assessment Deficiencies | Make sure that doctors visit residents regularly, as required. | Few | 2 |
| 09-18-09 | | Pharmacy Service Deficiencies | Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist. | Some | 1 |
| 09-18-09 | | Environmental Deficiencies | Have a program that investigates, controls and keeps infection from spreading. | Some | 2 |
| 09-18-09 | | Administration Deficiencies | Give or get quality lab services/tests in a timely manner to meet the needs of residents. | Some | 1 |
| 09-18-09 | | Administration Deficiencies | Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Many | 1 |
| 09-17-10 | | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | Some | 2 |
| 09-17-10 | | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | Some | 2 |
| 09-17-10 | | Exits and Egress Deficiencies | corridors or aisles that are unobstructed and are at least 8 feet in width. | Some | 2 |
| 09-17-10 | | Automatic Sprinkler Systems Deficiencies | automatic sprinkler systems that have been maintained in working order. | Some | 2 |
| 09-17-10 | | Automatic Sprinkler Systems Deficiencies | portable fire extinguishers. | Few | 2 |
| 09-17-10 | | Building Service Equipment Deficiencies | properly protected cooking facilities. | Few | 2 |
| 09-17-10 | | Electrical Deficiencies | properly installed electrical wiring and equipment. | Few | 2 |
| 09-17-10 | | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Some | 2 |
| 09-17-10 | | Mistreatment Deficiencies | Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property. | Few | 2 |
| 09-17-10 | | Resident Rights Deficiencies | Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality. | Some | 2 |
| 09-17-10 | | Resident Rights Deficiencies | Listen to the resident or family groups or act on their complaints or suggestions. | Some | 2 |
| 09-17-10 | | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | Few | 2 |
| 09-17-10 | | Quality Care Deficiencies | Provide activities to meet the interests and needs of each resident. | Some | 2 |
| 09-17-10 | | Quality Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Few | 2 |
| 09-17-10 | | Environmental Deficiencies | Provide housekeeping and maintenance services. | Few | 2 |
| 09-17-10 | | Resident Assessment Deficiencies | Make sure each resident receives an accurate assessment by a qualified health professional. | Some | 1 |
| 09-17-10 | | Quality Care Deficiencies | Provide necessary care and services to maintain the highest well being of each resident . | Few | 2 |
| 09-17-10 | | Quality Care Deficiencies | Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene. | Few | 2 |
| 09-17-10 | | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Some | 2 |
| 09-17-10 | | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function. | Few | 3 |
| 09-17-10 | | Environmental Deficiencies | Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents. | Few | 2 |
| 09-17-10 | | Quality Care Deficiencies | Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so. | Few | 2 |
| 09-17-10 | | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Few | 2 |
| 09-17-10 | | Pharmacy Service Deficiencies | 1) Make sure that each resident's drug regimen is free from unnecessary drugs',' 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being. | Few | 2 |
| 09-17-10 | | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Some | 2 |
| 09-17-10 | | Environmental Deficiencies | Have a program that investigates, controls and keeps infection from spreading. | Few | 2 |
| 09-17-10 | | Administration Deficiencies | Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Some | 1 |
| 09-16-09 | | Corridor Walls and Doors Deficiencies | corridor and hallway doors that block smoke. | Some | 2 |
| 09-16-09 | | Hazardous Area Deficiencies | construction that can resist fire for one hour or an approved fire extinguishing system. | Few | 2 |
| 09-16-09 | | Exits and Egress Deficiencies | exits that are accessible at all times. | Few | 2 |
| 09-16-09 | | Electrical Deficiencies | properly installed electrical wiring and equipment. | Some | 2 |
| 01-26-12 | | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident. | Few | 2 |
| 01-26-12 | | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | Some | 2 |
| 01-26-12 | | Resident Rights Deficiencies | Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care. | Few | 2 |
| 01-26-12 | | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | Few | 2 |
| 01-26-12 | | Environmental Deficiencies | Provide housekeeping and maintenance services. | Some | 1 |
| 01-26-12 | | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Few | 2 |
| 01-26-12 | | Quality Care Deficiencies | Make sure services provided by the nursing facility meet professional standards of quality. | Few | 2 |
| 01-26-12 | | Quality Care Deficiencies | Provide necessary care and services to maintain the highest well being of each resident . | Few | 2 |
| 01-26-12 | | Quality Care Deficiencies | Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene. | Few | 2 |
| 01-26-12 | | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Few | 3 |
| 01-26-12 | | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function. | Few | 3 |
| 01-26-12 | | Quality Care Deficiencies | Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so. | Few | 3 |
| 01-26-12 | | Quality Care Deficiencies | Develop policies and procedures for influenza and pneumococcal immunizations. | Some | 2 |
| 01-26-12 | | Nutrition and Dietary Deficiencies | Make sure that special or therapeutic diets are ordered by the attending doctor. | Few | 2 |
| 01-26-12 | | Pharmacy Service Deficiencies | Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Some | 2 |
| 01-26-12 | | Environmental Deficiencies | Have a program that investigates, controls and keeps infection from spreading. | Few | 3 |
| 01-26-12 | | Administration Deficiencies | Be administered in an acceptable way that maintains the well-being of each resident . | Some | 2 |
| 01-26-12 | | Administration Deficiencies | 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home',' or 2) hire a properly licensed administrator. | Some | 2 |
| 01-26-12 | | Administration Deficiencies | Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Some | 2 |