| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 2% | Percent of Residents Who Have Moderate to Severe Pain |
| 18% | Percent of Residents Who Were Physically Restrained |
| 7% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 16% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 13% | Percent of Residents Who Lose Too Much Weight |
| 8% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 76% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 4% | Percent of Residents With a Urinary Tract Infection |
| 3% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 2% | Percent of Short-Stay Residents With Delirium |
| 21% | Percent of Residents Who are More Depressed or Anxious |
| 31% | Percent of Short-Stay Residents With Pressure Sores |
| 16% | Percent of High-Risk Residents Who Have Pressure Sores |
| 12% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
5
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040609 | Corrected By: | 20040729 |
|
5
1...12
|
Environmental: Have enough outside airflow.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040609 | Corrected By: | 20040729 |
|
5
1...12
|
Mistreatment: Keep each resident free from physical restraints, unless needed for medical treatment.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050619 | Corrected By: | 20050812 |
|
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: | 20030509 | Corrected By: | 20030618 |
|
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: | 20050619 | Corrected By: | 20050801 |
|
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: | 20050619 | Corrected By: | 20050729 |
|
4
1...12
|
Resident Rights: Let residents give themselves their drugs if they are able.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050619 | Corrected By: | 20050701 |
|
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: | 20050619 | Corrected By: | 20050801 |
|
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: | 20050619 | Corrected By: | 20051215 |
|
4
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050619 | Corrected By: | 20051215 |
|
4
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030509 | Corrected By: | 20030622 |
|
4
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: | Isolated |
| Survey Date: | 20050619 | Corrected By: | 20050701 |
|
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: | 20040609 | Corrected By: | 20040720 |
|
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: | 20030509 | Corrected By: | 20030509 |
|
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: | 20030509 | Corrected By: | 20030514 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030509 | Corrected By: | 20030617 |
|
4
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040609 | Corrected By: | 20040729 |
|
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: | 20040609 | Corrected By: | 20040609 |
|
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: | 20050619 | Corrected By: | 20050810 |
|
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: | 20040609 | Corrected By: | 20040723 |
|
3
1...12
|
Environmental: Have enough outside airflow.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050619 | Corrected By: | 20050801 |
|
3
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050619 | Corrected By: | 20050801 |
|
3
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050619 | Corrected By: | 20050729 |
|
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: | 20050619 | Corrected By: | 20050801 |
|
2
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040609 | Corrected By: | 20040609 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040609 | Corrected By: | 20040609 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040609 | Corrected By: | 20040609 |
|
2
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050619 | Corrected By: | 20050901 |
|
2
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040609 | Corrected By: | 20040709 |
|