| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents With Pressure Sores |
| 41% | Percent of Residents Who are More Depressed or Anxious |
| 11% | Percent of Residents Who Lose Too Much Weight |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 24% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 3% | Percent of Residents Who Were Physically Restrained |
| 17% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents With Delirium |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 4% | Percent of Residents Who Have Moderate to Severe Pain |
| 10% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 7% | Percent of Residents With a Urinary Tract Infection |
| 0% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 52% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
7
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040429 | Corrected By: | 20040602 |
|
7
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20060209 | Corrected By: | 20060331 |
|
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: | 20040429 | Corrected By: | 20040602 |
|
7
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: | Actual harm | Scope: | Isolated |
| Survey Date: | 20060209 | Corrected By: | 20060331 |
|
5
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: | Pattern |
| Survey Date: | 20060209 | Corrected By: | 20060331 |
|
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: | 20060209 | Corrected By: | 20060331 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040429 | Corrected By: | 20040602 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060209 | Corrected By: | 20060331 |
|
5
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: | Pattern |
| Survey Date: | 20050323 | Corrected By: | 20050513 |
|
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: | 20060209 | Corrected By: | 20060331 |
|
4
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: | Isolated |
| Survey Date: | 20060209 | Corrected By: | 20060331 |
|
4
1...12
|
Resident Rights: Tell the resident completely about his or her health status.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040429 | Corrected By: | 20040602 |
|
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: | 20060209 | Corrected By: | 20060331 |
|
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: | 20060209 | Corrected By: | 20060331 |
|
4
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050323 | Corrected By: | 20050513 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060209 | Corrected By: | 20060331 |
|
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: | 20050323 | Corrected By: | 20050513 |
|
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: | 20040429 | Corrected By: | 20040602 |
|
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: | 20040429 | Corrected By: | 20040602 |
|
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: | 20050323 | Corrected By: | 20050513 |
|
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: | 20050323 | Corrected By: | 20050513 |
|
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: | 20040429 | Corrected By: | 20040602 |
|
3
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050323 | Corrected By: | 20050513 |
|
2
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: | Pattern |
| Survey Date: | 20040429 | Corrected By: | 20040602 |
|
2
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050323 | Corrected By: | 20050513 |
|
2
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050323 | Corrected By: | 20050513 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040429 | Corrected By: | 20040602 |
|
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: | 20050323 | Corrected By: | 20050513 |
|