| 13% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 6% | Percent of Residents With a Urinary Tract Infection |
| 54% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 14% | Percent of High-Risk Residents Who Have Pressure Sores |
| 19% | Percent of Residents Who are More Depressed or Anxious |
| 45% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 53% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 13% | Percent of Residents Who Lose Too Much Weight |
| 10% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Residents Who Were Physically Restrained |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents With Delirium |
| 17% | Percent of Short-Stay Residents With Pressure Sores |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
11
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Pattern |
| Survey Date: | 20051019 | Corrected By: | 20051208 |
|
7
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040909 | Corrected By: | 20041206 |
|
6
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: | Widespread |
| Survey Date: | 20030911 | Corrected By: | 20031126 |
|
5
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: | Pattern |
| Survey Date: | 20051019 | Corrected By: | 20051208 |
|
5
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: | Pattern |
| Survey Date: | 20040909 | Corrected By: | 20041206 |
|
5
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: | Pattern |
| Survey Date: | 20040909 | Corrected By: | 20041206 |
|
5
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: | Pattern |
| Survey Date: | 20040909 | Corrected By: | 20041206 |
|
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: | 20040909 | Corrected By: | 20041206 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030911 | Corrected By: | 20031126 |
|
5
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: | Pattern |
| Survey Date: | 20030911 | Corrected By: | 20031126 |
|
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: | 20030911 | Corrected By: | 20031126 |
|
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: | 20030911 | Corrected By: | 20031126 |
|
4
1...12
|
Resident Assessment: Keep assessments completed in the preceding 15 months in the resident's active record.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040909 | Corrected By: | 20041206 |
|
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: | 20030911 | Corrected By: | 20031126 |
|
4
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: | Isolated |
| Survey Date: | 20030911 | Corrected By: | 20031126 |
|
4
1...12
|
Resident Assessment: Keep assessments completed in the preceding 15 months in the resident's active record.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030911 | Corrected By: | 20031126 |
|
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: | 20030911 | Corrected By: | 20031126 |
|
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: | 20051019 | Corrected By: | 20051208 |
|
3
1...12
|
Resident Rights: Allow residents to easily see the results of the nursing home's most recent survey.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030911 | Corrected By: | 20031126 |
|
2
1...12
|
Environmental: Make sure that staff members wash their hands when needed.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030911 | Corrected By: | 20031126 |
|