| 9% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 27% | Percent of Short-Stay Residents With Pressure Sores |
| 4% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 46% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 3% | Percent of Residents Who Have Moderate to Severe Pain |
| 6% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Short-Stay Residents With Delirium |
| 11% | Percent of Residents Who Were Physically Restrained |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 8% | Percent of Residents Who Lose Too Much Weight |
| 10% | Percent of High-Risk Residents Who Have Pressure Sores |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 7% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 4% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
6
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: | Widespread |
| Survey Date: | 20060209 | Corrected By: | 20060326 |
|
6
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: | Widespread |
| Survey Date: | 20041028 | Corrected By: | 20041212 |
|
5
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: | Pattern |
| Survey Date: | 20060209 | Corrected By: | 20060326 |
|
5
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20041028 | Corrected By: | 20041212 |
|
5
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030815 | Corrected By: | 20030929 |
|
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: | 20041028 | Corrected By: | 20041212 |
|
4
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: | Isolated |
| Survey Date: | 20041028 | Corrected By: | 20041212 |
|
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: | 20060209 | Corrected By: | 20060326 |
|
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: | 20030815 | Corrected By: | 20030929 |
|
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: | 20041028 | Corrected By: | 20041212 |
|
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: | 20030815 | Corrected By: | 20030929 |
|
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: | 20060209 | Corrected By: | 20060326 |
|
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: | 20041028 | Corrected By: | 20041212 |
|
4
1...12
|
Resident Assessment: Check and update (if needed) each resident's assessment every 3 months.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030815 | Corrected By: | 20030929 |
|
3
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030815 | Corrected By: | 20030929 |
|
3
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20041028 | Corrected By: | 20041212 |
|
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: | 20041028 | Corrected By: | 20041212 |
|
3
1...12
|
Resident Rights: Provide proof that all residents' personal money which is deposited with the nursing home, is secure.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20041028 | Corrected By: | 20041212 |
|
3
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: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030815 | Corrected By: | 20030929 |
|