| 1% | Percent of Short-Stay Residents With Delirium |
| 13% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 64% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 10% | Percent of High-Risk Residents Who Have Pressure Sores |
| 2% | Percent of Residents Who Were Physically Restrained |
| 8% | Percent of Residents Who are More Depressed or Anxious |
| 11% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 33% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 3% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 15% | Percent of Residents Who Lose Too Much Weight |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 12% | Percent of Short-Stay Residents With Pressure Sores |
| 13% | Percent of Residents With a Urinary Tract Infection |
| 4% | Percent of Residents Who Have Moderate to Severe Pain |
| 17% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
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: | 20050428 | Corrected By: | 20050616 |
|
5
1...12
|
Resident Rights: Have a private telephone available for use.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040212 | Corrected By: | 20040312 |
|
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: | 20040212 | Corrected By: | 20040524 |
|
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: | 20050428 | Corrected By: | 20050616 |
|
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: | 20050428 | Corrected By: | 20050616 |
|
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: | 20050428 | Corrected By: | 20050715 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040212 | Corrected By: | 20040328 |
|
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: | 20040212 | Corrected By: | 20040328 |
|
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: | 20040212 | Corrected By: | 20040328 |
|
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: | 20040212 | Corrected By: | 20040328 |
|
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: | 20040212 | Corrected By: | 20040328 |
|
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: | 20040212 | Corrected By: | 20040328 |
|
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: | 20040212 | Corrected By: | 20040312 |
|
3
1...12
|
Resident Rights: Allow residents to easily see the results of the nursing home's most recent survey.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040212 | Corrected By: | 20040304 |
|