| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 25% | Percent of Short-Stay Residents With Pressure Sores |
| 45% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 35% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 1% | Percent of Residents With a Urinary Tract Infection |
| 2% | Percent of Residents Who Were Physically Restrained |
| 1% | Percent of Short-Stay Residents With Delirium |
| 17% | Percent of Residents Who are More Depressed or Anxious |
| 7% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 12% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 13% | Percent of High-Risk Residents Who Have Pressure Sores |
| 27% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 6% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 16% | Percent of Residents Who Have Moderate to Severe Pain |
6
1...12
|
Environmental: Keep a resident apart from the others if the resident has an infection that can spread.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20030731 | Corrected By: | 20030912 |
|
6
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20030731 | Corrected By: | 20030912 |
|
6
1...12
|
Nutrition and Diet: 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20030731 | Corrected By: | 20030912 |
|
5
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060323 | Corrected By: | 20060428 |
|
5
1...12
|
Pharmacy Service: Keep drugs and other similar products locked safely and properly stored.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060323 | Corrected By: | 20060428 |
|
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: | 20060323 | Corrected By: | 20060428 |
|
4
1...12
|
Administration: Make sure that nurse aides show they have the skills to be able to care for residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040701 | Corrected By: | 20040819 |
|
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: | 20060323 | Corrected By: | 20060428 |
|
4
1...12
|
Resident Assessment: 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.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060323 | Corrected By: | 20060428 |
|
4
1...12
|
Environmental: Keep a resident apart from the others if the resident has an infection that can spread.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060323 | Corrected By: | 20060428 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030731 | Corrected By: | 20031027 |
|
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: | 20060323 | Corrected By: | 20060428 |
|
4
1...12
|
Nutrition and Diet: Make sure that the attending doctor orders special diets.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030731 | Corrected By: | 20030912 |
|
4
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030731 | Corrected By: | 20031027 |
|
4
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030731 | Corrected By: | 20030912 |
|
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: | 20030731 | Corrected By: | 20031027 |
|
4
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060323 | Corrected By: | 20060428 |
|
3
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: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030731 | Corrected By: | 20031027 |
|
3
1...12
|
Environmental: Make sure there is a program to prevent/deal with mice, insects, or other pests.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030731 | Corrected By: | 20030912 |
|
2
1...12
|
Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040701 | Corrected By: | 20040819 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040701 | Corrected By: | 20040819 |
|