| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 13% | Percent of Residents Who are More Depressed or Anxious |
| 5% | Percent of Residents Who Have Moderate to Severe Pain |
| 5% | Percent of Residents Who Lose Too Much Weight |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 52% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 22% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 10% | Percent of Residents With a Urinary Tract Infection |
| 7% | Percent of Short-Stay Residents With Delirium |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 3% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 1% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 7% | Percent of High-Risk Residents Who Have Pressure Sores |
| 11% | Percent of Short-Stay Residents With Pressure Sores |
| 13% | Percent of Residents Who Were Physically Restrained |
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: | 20050304 | Corrected By: | 20050415 |
|
5
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: | Pattern |
| Survey Date: | 20060323 | Corrected By: | 20060418 |
|
5
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: | Pattern |
| Survey Date: | 20060323 | Corrected By: | 20060418 |
|
5
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: | Pattern |
| Survey Date: | 20050304 | Corrected By: | 20050415 |
|
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: | 20050304 | Corrected By: | 20050531 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050304 | Corrected By: | 20050415 |
|
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: | 20050304 | Corrected By: | 20050415 |
|
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: | 20060323 | Corrected By: | 20060418 |
|
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: | 20060323 | Corrected By: | 20060418 |
|
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: | 20050304 | Corrected By: | 20050531 |
|
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: | 20050304 | Corrected By: | 20050415 |
|
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: | 20050304 | Corrected By: | 20050415 |
|
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: | 20050304 | Corrected By: | 20050415 |
|
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: | 20050304 | Corrected By: | 20050531 |
|
4
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: | Isolated |
| Survey Date: | 20050304 | Corrected By: | 20050531 |
|
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: | 20050304 | Corrected By: | 20050415 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060323 | Corrected By: | 20060418 |
|
2
1...12
|
Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050304 | Corrected By: | 20050415 |
|