| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Residents Who Were Physically Restrained |
| 21% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 14% | Percent of Residents Who Lose Too Much Weight |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 4% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 21% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 10% | Percent of Residents With a Urinary Tract Infection |
| 16% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents With Delirium |
| 29% | Percent of Short-Stay Residents With Pressure Sores |
| 8% | Percent of Residents Who are More Depressed or Anxious |
| 19% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
11
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Pattern |
| Survey Date: | 20040618 | Corrected By: | 20040707 |
|
11
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: | Immediate jeopardy to resident health or safety | Scope: | Pattern |
| Survey Date: | 20040618 | Corrected By: | 20040707 |
|
11
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: | Immediate jeopardy to resident health or safety | Scope: | Pattern |
| Survey Date: | 20040618 | Corrected By: | 20040707 |
|
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: | 20040618 | Corrected By: | 20040707 |
|
10
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: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20040618 | Corrected By: | 20040707 |
|
7
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040618 | Corrected By: | 20040810 |
|
7
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040618 | Corrected By: | 20040810 |
|
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: | 20040618 | Corrected By: | 20040810 |
|
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: | 20050824 | Corrected By: | 20051013 |
|
6
1...12
|
Administration: Make sure that nurse aides show they have the skills to be able to care for residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20040618 | Corrected By: | 20040810 |
|
5
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040618 | Corrected By: | 20040810 |
|
5
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050824 | Corrected By: | 20051013 |
|
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: | 20050824 | Corrected By: | 20051013 |
|
4
1...12
|
Environmental: Put firmly secured handrails on each side of hallways.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050824 | Corrected By: | 20051013 |
|
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: | 20050824 | Corrected By: | 20051013 |
|
4
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050824 | Corrected By: | 20051013 |
|
4
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050824 | Corrected By: | 20051013 |
|
4
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: | Isolated |
| Survey Date: | 20040618 | Corrected By: | 20040810 |
|
4
1...12
|
Environmental: Make sure that staff members wash their hands when needed.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040618 | Corrected By: | 20040810 |
|
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: | 20040618 | Corrected By: | 20040810 |
|
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: | 20060202 | Corrected By: | 20060319 |
|
3
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050824 | Corrected By: | 20051013 |
|