| 13% | Percent of Residents Who Were Physically Restrained |
| 4% | Percent of Residents Who Have Moderate to Severe Pain |
| 2% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 17% | Percent of Residents Who Lose Too Much Weight |
| 7% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 19% | Percent of High-Risk Residents Who Have Pressure Sores |
| 12% | Percent of Residents With a Urinary Tract Infection |
| 17% | Percent of Short-Stay Residents With Pressure Sores |
| 29% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 31% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 1% | Percent of Short-Stay Residents With Delirium |
| 22% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 72% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 21% | Percent of Residents Who are More Depressed or Anxious |
7
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040720 | Corrected By: | 20040817 |
|
5
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040817 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040817 |
|
5
1...12
|
Resident Rights: 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.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040817 |
|
5
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030822 | Corrected By: | 20031001 |
|
5
1...12
|
Pharmacy Service: Make sure that residents are safe from serious medication errors.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030822 | Corrected By: | 20030922 |
|
5
1...12
|
Pharmacy Service: Make sure that residents are safe from serious medication errors.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040922 |
|
4
1...12
|
Pharmacy Service: Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Pharmacy Service: Make sure that residents are safe from serious medication errors.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Environmental: Make sure that staff members wash their hands when needed.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030822 | Corrected By: | 20030930 |
|
4
1...12
|
Environmental: Have enough outside airflow.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Administration: Get services outside the nursing home that meet professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Resident Assessment: Keep assessments completed in the preceding 15 months in the resident's active record.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Mistreatment: 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.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Resident Assessment: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030822 | Corrected By: | 20030822 |
|
4
1...12
|
Pharmacy Service: Act when the pharmacist reports something unusual.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030822 | Corrected By: | 20030923 |
|
4
1...12
|
Pharmacy Service: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040720 | Corrected By: | 20040817 |
|
4
1...12
|
Pharmacy Service: Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040720 | Corrected By: | 20040922 |
|
4
1...12
|
Resident Rights: 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.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
2
1...12
|
Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030822 | Corrected By: | 20030912 |
|
2
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|
2
1...12
|
Resident Rights: Quickly give a resident's personal money to the heads of his or her estate after the resident's death.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050725 | Corrected By: | 20050908 |
|