12
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Widespread |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
12
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Widespread |
| Survey Date: | 20050113 | Corrected By: | 20050421 |
|
12
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: | Immediate jeopardy to resident health or safety | Scope: | Widespread |
| Survey Date: | 20050113 | Corrected By: | 20050421 |
|
9
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Actual harm | Scope: | Widespread |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
8
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: | Pattern |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
7
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20031106 | Corrected By: | 20031220 |
|
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: | 20031106 | Corrected By: | 20031220 |
|
7
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: | Actual harm | Scope: | Isolated |
| Survey Date: | 20050113 | Corrected By: | 20050401 |
|
7
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20031106 | Corrected By: | 20031220 |
|
7
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
6
1...12
|
Pharmacy Service: Use the services of a licensed pharmacist.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20050113 | Corrected By: | 20050401 |
|
6
1...12
|
Quality Care: Have enough nurses to care for every resident in a way that maximizes the resident's well being.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
6
1...12
|
Administration: Make sure that nurse aides show they have the skills to be able to care for residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20050113 | Corrected By: | 20050401 |
|
5
1...12
|
Resident Rights: Keep each resident's personal and medical records private and confidential.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050113 | Corrected By: | 20050401 |
|
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: | 20050113 | Corrected By: | 20050401 |
|
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: | 20031106 | Corrected By: | 20031220 |
|
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: | 20031106 | Corrected By: | 20031220 |
|
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: | 20050113 | Corrected By: | 20050401 |
|
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: | 20050113 | Corrected By: | 20050401 |
|
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: | 20050113 | Corrected By: | 20050401 |
|
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: | 20050113 | Corrected By: | 20050401 |
|
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: | 20050113 | Corrected By: | 20050620 |
|
4
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060713 | Corrected By: | 20060821 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
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: | 20060713 | Corrected By: | 20060821 |
|
4
1...12
|
Quality Care: Have enough nurses to care for every resident in a way that maximizes the resident's well being.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060713 | Corrected By: | 20060821 |
|
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: | 20060713 | Corrected By: | 20060821 |
|
4
1...12
|
Quality Care: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060713 | Corrected By: | 20060821 |
|
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: | 20060713 | Corrected By: | 20060821 |
|
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: | 20060713 | Corrected By: | 20060821 |
|
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: | 20060713 | Corrected By: | 20060821 |
|
4
1...12
|
Resident Rights: Quickly give a resident's personal money to the heads of his or her estate after the resident's death.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060713 | Corrected By: | 20060821 |
|
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: | 20050113 | Corrected By: | 20050401 |
|
4
1...12
|
Nutrition and Diet: Offer other nutritional food to each resident who will not eat the food served.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
4
1...12
|
Resident Rights: Let the resident or the resident's representative look at all records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
4
1...12
|
Administration: Get services outside the nursing home that meet professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031106 | Corrected By: | 20031220 |
|
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: | 20031106 | Corrected By: | 20031220 |
|
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: | 20031106 | Corrected By: | 20031220 |
|
4
1...12
|
Quality Care: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031106 | Corrected By: | 20031220 |
|
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: | 20031106 | Corrected By: | 20031220 |
|
4
1...12
|
Resident Assessment: Do a new assessment after any major change in a resident's physical or mental health.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031106 | Corrected By: | 20031220 |
|
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: | 20031106 | Corrected By: | 20031220 |
|
4
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: | Isolated |
| Survey Date: | 20031106 | Corrected By: | 20031220 |
|
4
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050113 | Corrected By: | 20050401 |
|
4
1...12
|
Resident Rights: Provide written records when a resident is transferred or discharged.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
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: | 20050113 | Corrected By: | 20050620 |
|
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: | 20050113 | Corrected By: | 20050620 |
|
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: | 20050113 | Corrected By: | 20050401 |
|
4
1...12
|
Resident Rights: Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|
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: | 20050113 | Corrected By: | 20050401 |
|
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: | 20050113 | Corrected By: | 20050620 |
|
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: | 20050113 | Corrected By: | 20050620 |
|
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: | 20050113 | Corrected By: | 20050620 |
|
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: | 20031106 | Corrected By: | 20031220 |
|
3
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050113 | Corrected By: | 20050620 |
|