| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 1% | Percent of Residents Who Were Physically Restrained |
| 13% | Percent of Residents With a Urinary Tract Infection |
| 7% | Percent of Short-Stay Residents With Delirium |
| 13% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 13% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 65% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 38% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 7% | Percent of Residents Who Lose Too Much Weight |
| 6% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 20% | Percent of Residents Who are More Depressed or Anxious |
| 11% | Percent of High-Risk Residents Who Have Pressure Sores |
| 10% | Percent of Short-Stay Residents With Pressure Sores |
| 19% | Percent of Residents Who Have Moderate to Severe Pain |
10
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20050628 | Corrected By: | 20050815 |
|
8
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Actual harm | Scope: | Pattern |
| Survey Date: | 20050628 | Corrected By: | 20050815 |
|
8
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: | Pattern |
| Survey Date: | 20050628 | Corrected By: | 20050815 |
|
8
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: | Pattern |
| Survey Date: | 20030328 | Corrected By: | 20030428 |
|
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: | 20040409 | Corrected By: | 20040428 |
|
7
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: | Actual harm | Scope: | Isolated |
| Survey Date: | 20030328 | Corrected By: | 20030428 |
|
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: | 20030328 | Corrected By: | 20030428 |
|
6
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: | Widespread |
| Survey Date: | 20030328 | Corrected By: | 20030428 |
|
6
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20050628 | Corrected By: | 20050815 |
|
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: | 20050628 | Corrected By: | 20050815 |
|
5
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: | Pattern |
| Survey Date: | 20050628 | Corrected By: | 20050815 |
|
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: | 20030328 | Corrected By: | 20030428 |
|
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: | 20030328 | Corrected By: | 20030428 |
|
4
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: | Isolated |
| Survey Date: | 20050628 | Corrected By: | 20050815 |
|
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: | 20030328 | Corrected By: | 20030428 |
|
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: | 20050628 | Corrected By: | 20050815 |
|
4
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: | Isolated |
| Survey Date: | 20040409 | Corrected By: | 20040428 |
|
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: | 20040409 | Corrected By: | 20040615 |
|
4
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030328 | Corrected By: | 20030428 |
|
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: | 20030328 | Corrected By: | 20030428 |
|
2
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040409 | Corrected By: | 20040428 |
|