| 25% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 56% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 15% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 20% | Percent of High-Risk Residents Who Have Pressure Sores |
| 9% | Percent of Residents Who Lose Too Much Weight |
| 31% | Percent of Short-Stay Residents With Pressure Sores |
| 2% | Percent of Residents Who Have Moderate to Severe Pain |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 14% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 10% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 7% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 7% | Percent of Short-Stay Residents With Delirium |
| 7% | Percent of Residents Who are More Depressed or Anxious |
| 6% | Percent of Residents Who Were Physically Restrained |
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: | 20060210 | Corrected By: | 20060405 |
|
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: | 20060210 | Corrected By: | 20060405 |
|
5
1...12
|
Environmental: Keep a resident apart from the others if the resident has an infection that can spread.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050201 | Corrected By: | 20050402 |
|
5
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050201 | Corrected By: | 20050402 |
|
5
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: | Pattern |
| Survey Date: | 20050201 | Corrected By: | 20050402 |
|
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: | 20040210 | Corrected By: | 20040315 |
|
5
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040210 | Corrected By: | 20040301 |
|
5
1...12
|
Nutrition and Diet: Provide food in a way that meets a resident's needs.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060210 | Corrected By: | 20060405 |
|
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: | 20050201 | Corrected By: | 20050402 |
|
5
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: | Pattern |
| Survey Date: | 20040210 | Corrected By: | 20040315 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040210 | Corrected By: | 20040227 |
|
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: | 20040210 | Corrected By: | 20040317 |
|
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: | 20060210 | Corrected By: | 20060405 |
|
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: | 20060210 | Corrected By: | 20060405 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060210 | Corrected By: | 20060405 |
|
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: | 20050201 | Corrected By: | 20050402 |
|
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: | 20060210 | Corrected By: | 20060405 |
|
4
1...12
|
Nutrition and Diet: Provide food in a way that meets a resident's needs.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050201 | Corrected By: | 20050402 |
|
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: | 20060210 | Corrected By: | 20060405 |
|
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: | 20050201 | Corrected By: | 20050402 |
|
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: | 20060210 | Corrected By: | 20060405 |
|
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: | 20050201 | Corrected By: | 20050402 |
|
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: | 20040210 | Corrected By: | 20040315 |
|
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: | 20040210 | Corrected By: | 20040401 |
|
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: | 20040210 | Corrected By: | 20040401 |
|
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: | 20040210 | Corrected By: | 20040401 |
|
4
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: | Isolated |
| Survey Date: | 20040210 | Corrected By: | 20040401 |
|
4
1...12
|
Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040210 | Corrected By: | 20040401 |
|
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: | 20040210 | Corrected By: | 20040401 |
|
4
1...12
|
Resident Rights: Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050201 | Corrected By: | 20050402 |
|
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: | 20050201 | Corrected By: | 20050402 |
|
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: | 20050201 | Corrected By: | 20050402 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060210 | Corrected By: | 20060405 |
|
2
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050201 | Corrected By: | |
|
2
1...12
|
Environmental: Have enough outside airflow.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050201 | Corrected By: | 20050402 |
|
2
1...12
|
Resident Assessment: Do a new assessment after any major change in a resident's physical or mental health.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050201 | Corrected By: | 20050402 |
|
2
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040210 | Corrected By: | 20040315 |
|