| 5% | Percent of Residents Who Lose Too Much Weight |
| 2% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 4% | Percent of Short-Stay Residents With Delirium |
| 38% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 22% | Percent of Short-Stay Residents With Pressure Sores |
| 9% | Percent of Residents Who Have Moderate to Severe Pain |
| 40% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 13% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 15% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 8% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 8% | Percent of High-Risk Residents Who Have Pressure Sores |
| 2% | Percent of Residents With a Urinary Tract Infection |
| 22% | Percent of Residents Who are More Depressed or Anxious |
| 2% | Percent of Residents Who Were Physically Restrained |
6
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20051006 | Corrected By: | 20051220 |
|
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: | 20040701 | Corrected By: | 20040826 |
|
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: | 20060713 | Corrected By: | 20060901 |
|
5
1...12
|
Environmental: Keep sound levels comfortable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060713 | Corrected By: | 20060901 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060713 | Corrected By: | 20060901 |
|
5
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: | Pattern |
| Survey Date: | 20060713 | Corrected By: | 20060901 |
|
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: | 20060713 | Corrected By: | 20060901 |
|
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: | 20060713 | Corrected By: | 20060901 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060713 | Corrected By: | 20060901 |
|
5
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: | Pattern |
| Survey Date: | 20051006 | Corrected By: | 20051220 |
|
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: | 20051006 | Corrected By: | 20051220 |
|
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: | 20060713 | Corrected By: | 20060901 |
|
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: | 20051006 | Corrected By: | 20051220 |
|
4
1...12
|
Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060713 | Corrected By: | 20060901 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060713 | Corrected By: | 20060901 |
|
3
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20051006 | Corrected By: | 20051220 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060713 | Corrected By: | 20060901 |
|
2
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060713 | Corrected By: | 20060901 |
|