| 19% | Percent of Residents With a Urinary Tract Infection |
| 26% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 17% | Percent of Short-Stay Residents With Pressure Sores |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 17% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Short-Stay Residents With Delirium |
| 10% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 9% | Percent of Residents Who Were Physically Restrained |
| 12% | Percent of Residents Who Have Moderate to Severe Pain |
| 14% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 6% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 50% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 15% | Percent of High-Risk Residents Who Have Pressure Sores |
| 2% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 14% | Percent of Residents Who are More Depressed or Anxious |
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: | 20020926 | Corrected By: | 20021101 |
|
6
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20020926 | Corrected By: | 20021101 |
|
5
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: | Pattern |
| Survey Date: | 20031120 | Corrected By: | 20031219 |
|
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: | 20031120 | Corrected By: | 20031219 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20020926 | Corrected By: | 20021101 |
|
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: | 20031120 | Corrected By: | 20031219 |
|
4
1...12
|
Environmental: Keep adequate and comfortable lighting in all areas.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031120 | Corrected By: | 20031219 |
|
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: | 20031120 | Corrected By: | 20031219 |
|
4
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050210 | Corrected By: | 20050228 |
|
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: | 20020926 | Corrected By: | 20021101 |
|
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: | 20050210 | Corrected By: | 20050228 |
|
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: | 20020926 | Corrected By: | 20021101 |
|
4
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: | Isolated |
| Survey Date: | 20020926 | Corrected By: | 20021101 |
|
4
1...12
|
Quality Care: Provide social services for related medical problems to help each resident achieve the highest possible quality of life.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20020926 | Corrected By: | 20021101 |
|
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: | 20020926 | Corrected By: | 20021101 |
|
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: | 20020926 | Corrected By: | 20021101 |
|
4
1...12
|
Resident Rights: Quickly give a resident's personal money to the heads of his or her estate after the resident's death.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20020926 | Corrected By: | 20021101 |
|
3
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20020926 | Corrected By: | 20021101 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20020926 | Corrected By: | 20021101 |
|