| 16% | Percent of Residents With a Urinary Tract Infection |
| 3% | Percent of Residents Who are More Depressed or Anxious |
| 2% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 11% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 16% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 45% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 3% | Percent of Residents Who Lose Too Much Weight |
| 25% | Percent of Short-Stay Residents With Pressure Sores |
| 24% | Percent of High-Risk Residents Who Have Pressure Sores |
| 11% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 11% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 5% | Percent of Residents Who Have Moderate to Severe Pain |
| 3% | Percent of Residents Who Were Physically Restrained |
| 0% | Percent of Short-Stay Residents With Delirium |
| 16% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
7
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20051026 | Corrected By: | 20051210 |
|
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: | 20051026 | Corrected By: | 20051210 |
|
6
1...12
|
Administration: Hire a qualified social worker; or in homes with more than 120 beds, hire a qualified full-time social worker.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20051026 | Corrected By: | 20051210 |
|
6
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20051026 | Corrected By: | 20051210 |
|
6
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20051026 | Corrected By: | 20051210 |
|
5
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: | Pattern |
| Survey Date: | 20040527 | Corrected By: | 20040722 |
|
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: | 20051026 | Corrected By: | 20051210 |
|
4
1...12
|
Resident Assessment: Do a new assessment after any major change in a resident's physical or mental health.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051026 | Corrected By: | 20051210 |
|
4
1...12
|
Quality Care: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051026 | Corrected By: | 20051210 |
|
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: | 20051026 | Corrected By: | 20051210 |
|
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: | 20030515 | Corrected By: | 20030716 |
|
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: | 20051026 | Corrected By: | 20051210 |
|
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: | 20051026 | Corrected By: | 20051210 |
|
4
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051026 | Corrected By: | 20051210 |
|
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: | 20040527 | Corrected By: | 20040722 |
|
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: | 20040527 | Corrected By: | 20040820 |
|
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: | 20030515 | Corrected By: | 20030716 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051026 | Corrected By: | 20051210 |
|
2
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20051026 | Corrected By: | 20051210 |
|
2
1...12
|
Environmental: Keep sound levels comfortable.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030515 | Corrected By: | 20030716 |
|