| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 2% | Percent of Residents Who Were Physically Restrained |
| 1% | Percent of Short-Stay Residents With Delirium |
| 19% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 7% | Percent of Residents Who are More Depressed or Anxious |
| 16% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 4% | Percent of Residents Who Lose Too Much Weight |
| 15% | Percent of Short-Stay Residents With Pressure Sores |
| 55% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 9% | Percent of Residents With a Urinary Tract Infection |
| 10% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 17% | Percent of High-Risk Residents Who Have Pressure Sores |
| 5% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
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: | 20041110 | Corrected By: | 20041227 |
|
5
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20031031 | Corrected By: | 20031220 |
|
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: | 20041110 | Corrected By: | 20041227 |
|
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: | 20031031 | Corrected By: | 20031220 |
|
5
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: | Pattern |
| Survey Date: | 20031031 | Corrected By: | 20031220 |
|
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: | 20060118 | Corrected By: | 20060324 |
|
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: | 20031031 | Corrected By: | 20031220 |
|
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: | 20031031 | Corrected By: | 20031220 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20041110 | Corrected By: | 20041227 |
|
5
1...12
|
Nutrition and Diet: Provide food in a way that meets a resident's needs.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20041110 | Corrected By: | 20041227 |
|
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: | 20060118 | Corrected By: | 20060318 |
|
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: | 20041110 | Corrected By: | 20041227 |
|
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: | 20060118 | Corrected By: | 20060301 |
|
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: | 20060118 | Corrected By: | 20060318 |
|
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: | 20060118 | Corrected By: | 20060318 |
|
4
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060118 | Corrected By: | 20060318 |
|
4
1...12
|
Quality Care: Provide social services for related medical problems to help each resident achieve the highest possible quality of life.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060118 | Corrected By: | 20060318 |
|
4
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: | Isolated |
| Survey Date: | 20060118 | Corrected By: | 20060118 |
|
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: | 20060118 | Corrected By: | 20060228 |
|
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: | 20060118 | Corrected By: | 20060301 |
|
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: | 20041110 | Corrected By: | 20041227 |
|
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: | 20060118 | Corrected By: | 20060301 |
|
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: | 20031031 | Corrected By: | 20031220 |
|
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: | 20031031 | Corrected By: | 20031220 |
|
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: | 20031031 | Corrected By: | 20031220 |
|
4
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031031 | Corrected By: | 20031220 |
|
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: | 20031031 | Corrected By: | 20031220 |
|
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: | 20031031 | Corrected By: | 20031220 |
|
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: | 20031031 | Corrected By: | 20031220 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031031 | Corrected By: | 20031220 |
|
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: | 20041110 | Corrected By: | 20041227 |
|
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: | 20041110 | Corrected By: | 20041227 |
|
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: | 20041110 | Corrected By: | 20041227 |
|
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: | 20041110 | Corrected By: | 20041227 |
|
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: | 20060118 | Corrected By: | 20060301 |
|
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: | 20060118 | Corrected By: | 20060228 |
|
2
1...12
|
Resident Rights: Keep each resident's personal and medical records private and confidential.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060118 | Corrected By: | 20060318 |
|
2
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060118 | Corrected By: | 20060118 |
|
2
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060118 | Corrected By: | 20060304 |
|
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: | 20031031 | Corrected By: | 20031220 |
|