| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 23% | Percent of Short-Stay Residents With Pressure Sores |
| 21% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 14% | Percent of Residents With a Urinary Tract Infection |
| 6% | Percent of Residents Who are More Depressed or Anxious |
| 10% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 11% | Percent of Residents Who Have Moderate to Severe Pain |
| 21% | Percent of Residents Who Were Physically Restrained |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 1% | Percent of Short-Stay Residents With Delirium |
| 20% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 9% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 21% | Percent of High-Risk Residents Who Have Pressure Sores |
| 9% | Percent of Residents Who Lose Too Much Weight |
7
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
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: | 20050517 | Corrected By: | 20050817 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
5
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040413 | Corrected By: | 20040603 |
|
5
1...12
|
Quality Care: Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
5
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: | Pattern |
| Survey Date: | 20040413 | Corrected By: | 20040603 |
|
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: | 20040413 | Corrected By: | 20040603 |
|
5
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
5
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
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: | 20050517 | Corrected By: | 20050817 |
|
5
1...12
|
Pharmacy Service: Act when the pharmacist reports something unusual.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
5
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
5
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: | Pattern |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
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: | 20050517 | Corrected By: | 20050817 |
|
4
1...12
|
Quality Care: Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
4
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: | Isolated |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
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: | 20050517 | Corrected By: | 20050817 |
|
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: | 20050517 | Corrected By: | 20050817 |
|
4
1...12
|
Mistreatment: Keep each resident free from physical restraints, unless needed for medical treatment.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030404 | Corrected By: | 20030630 |
|
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: | 20030404 | Corrected By: | 20030630 |
|
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: | 20030404 | Corrected By: | 20030630 |
|
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: | 20030404 | Corrected By: | 20030630 |
|
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: | 20030404 | Corrected By: | 20030630 |
|
4
1...12
|
Quality Care: Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030404 | Corrected By: | 20030630 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030404 | Corrected By: | 20030630 |
|
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: | 20040413 | Corrected By: | 20040603 |
|
4
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: | Isolated |
| Survey Date: | 20040413 | Corrected By: | 20040603 |
|
4
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040413 | Corrected By: | 20040603 |
|
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: | 20040413 | Corrected By: | 20040603 |
|
4
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050517 | Corrected By: | 20050817 |
|
2
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030404 | Corrected By: | 20030630 |
|