| 10% | Percent of Residents Who are More Depressed or Anxious |
| 2% | Percent of Residents Who Have Moderate to Severe Pain |
| 76% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 6% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 20% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 14% | Percent of Residents Who Lose Too Much Weight |
| 20% | Percent of Short-Stay Residents With Pressure Sores |
| 26% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 1% | Percent of Short-Stay Residents With Delirium |
| 4% | Percent of Residents With a Urinary Tract Infection |
| 19% | Percent of High-Risk Residents Who Have Pressure Sores |
| 19% | Percent of Residents Who Were Physically Restrained |
| 6% | 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 |
5
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: | Pattern |
| Survey Date: | 20050923 | Corrected By: | 20051123 |
|
5
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: | Pattern |
| Survey Date: | 20050923 | Corrected By: | 20051123 |
|
5
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: | Pattern |
| Survey Date: | 20031003 | Corrected By: | 20041114 |
|
5
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: | Pattern |
| Survey Date: | 20050923 | Corrected By: | 20051123 |
|
5
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: | Pattern |
| Survey Date: | 20040924 | Corrected By: | 20041109 |
|
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: | 20040924 | Corrected By: | 20041109 |
|
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: | 20050923 | Corrected By: | 20051123 |
|
4
1...12
|
Pharmacy Service: Act when the pharmacist reports something unusual.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050923 | Corrected By: | 20051123 |
|
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: | 20050923 | Corrected By: | 20051123 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050923 | Corrected By: | 20051123 |
|
4
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040924 | Corrected By: | 20041109 |
|
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: | 20040924 | Corrected By: | 20041109 |
|
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: | 20031003 | Corrected By: | 20041114 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20031003 | Corrected By: | 20041114 |
|