| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 13% | Percent of Residents With a Urinary Tract Infection |
| 61% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 6% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 2% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 19% | Percent of High-Risk Residents Who Have Pressure Sores |
| 20% | Percent of Short-Stay Residents With Pressure Sores |
| 18% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 2% | Percent of Short-Stay Residents With Delirium |
| 9% | Percent of Residents Who Were Physically Restrained |
| 5% | Percent of Residents Who Lose Too Much Weight |
| 3% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 13% | Percent of Residents Who are More Depressed or Anxious |
| 5% | Percent of Residents Who Have Moderate to Severe Pain |
| 18% | 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: | 20060320 | Corrected By: | 20060504 |
|
5
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: | Pattern |
| Survey Date: | 20060320 | Corrected By: | 20060504 |
|
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: | 20060320 | Corrected By: | 20060504 |
|
5
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: | Pattern |
| Survey Date: | 20060320 | Corrected By: | 20060504 |
|
5
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: | Pattern |
| Survey Date: | 20050304 | Corrected By: | 20050322 |
|
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: | 20050304 | Corrected By: | 20050428 |
|
5
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: | Pattern |
| Survey Date: | 20050304 | Corrected By: | 20050309 |
|
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: | 20050304 | Corrected By: | 20050316 |
|
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: | 20040129 | Corrected By: | 20040329 |
|
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: | 20040129 | Corrected By: | 20040329 |
|
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: | 20060320 | Corrected By: | 20060504 |
|
4
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060320 | Corrected By: | 20060504 |
|
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: | 20060320 | Corrected By: | 20060327 |
|
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: | 20040129 | Corrected By: | 20040329 |
|
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: | 20060320 | Corrected By: | 20060504 |
|
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: | 20050304 | Corrected By: | 20050304 |
|
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: | 20050304 | Corrected By: | 20050322 |
|
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: | 20050304 | Corrected By: | 20050319 |
|
4
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040129 | Corrected By: | 20040329 |
|
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: | 20060320 | Corrected By: | 20060508 |
|