7
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040830 | Corrected By: | 20041220 |
|
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: | 20040830 | Corrected By: | 20050201 |
|
6
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20040830 | Corrected By: | 20050211 |
|
6
1...12
|
Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
5
1...12
|
Administration: Follow all laws and professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
5
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
5
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
5
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
5
1...12
|
Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
5
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: | Pattern |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
5
1...12
|
Quality Care: 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.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
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: | 20040830 | Corrected By: | |
|
5
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040830 | Corrected By: | 20050201 |
|
5
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: | Pattern |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
5
1...12
|
Environmental: Make sure that a working call system is available in each resident's room or bathroom and bathing area.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
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: | 20040830 | Corrected By: | 20041022 |
|
4
1...12
|
Environmental: Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
4
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
4
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
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: | 20051014 | Corrected By: | 20051130 |
|
4
1...12
|
Environmental: Make sure there is a program to prevent/deal with mice, insects, or other pests.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
4
1...12
|
Environmental: Make sure that a working call system is available in each resident's room or bathroom and bathing area.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
4
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
4
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
4
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: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
4
1...12
|
Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
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: | 20051014 | Corrected By: | 20051130 |
|
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: | 20051014 | Corrected By: | 20051130 |
|
4
1...12
|
Resident Assessment: Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
4
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
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: | 20040830 | Corrected By: | 20041022 |
|
4
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
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: | 20030912 | Corrected By: | 20031102 |
|
4
1...12
|
Quality Care: Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
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: | 20030912 | Corrected By: | 20031102 |
|
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: | 20030912 | Corrected By: | 20031102 |
|
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: | 20030912 | Corrected By: | 20031102 |
|
4
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
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: | 20040830 | Corrected By: | 20041022 |
|
4
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
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: | 20040830 | Corrected By: | 20041022 |
|
4
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: | Isolated |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
4
1...12
|
Pharmacy Service: Use the services of a licensed pharmacist.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
4
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: | Isolated |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
4
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051014 | Corrected By: | 20051130 |
|
3
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
3
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
3
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: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
3
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030912 | Corrected By: | 20031102 |
|
3
1...12
|
Resident Rights: Keep each resident's personal and medical records private and confidential.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
2
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
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: | 20030912 | Corrected By: | 20031102 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040830 | Corrected By: | 20041022 |
|
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: | 20040830 | Corrected By: | 20041022 |
|