| 15% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Residents Who Have Moderate to Severe Pain |
| 24% | Percent of High-Risk Residents Who Have Pressure Sores |
| 4% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Short-Stay Residents With Delirium |
| 58% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 9% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 9% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 7% | Percent of Residents With a Urinary Tract Infection |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 13% | Percent of Short-Stay Residents With Pressure Sores |
| 4% | Percent of Residents Who Were Physically Restrained |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 5% | Percent of Residents Who are More Depressed or Anxious |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
5
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: | Pattern |
| Survey Date: | 20030619 | Corrected By: | 20030711 |
|
5
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030619 | Corrected By: | 20030711 |
|
5
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: | Pattern |
| Survey Date: | 20040805 | Corrected By: | 20041101 |
|
5
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: | Pattern |
| Survey Date: | 20040805 | Corrected By: | 20040921 |
|
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: | 20050810 | Corrected By: | 20050921 |
|
4
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
4
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
4
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
4
1...12
|
Nutrition and Diet: Provide food in a way that meets a resident's needs.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
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: | 20050810 | Corrected By: | 20050921 |
|
4
1...12
|
Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
4
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
4
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
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: | 20040805 | Corrected By: | 20040921 |
|
4
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040805 | Corrected By: | 20041101 |
|
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: | 20040805 | Corrected By: | 20040921 |
|
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: | 20040805 | Corrected By: | 20040921 |
|
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: | 20040805 | Corrected By: | 20040921 |
|
4
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030619 | Corrected By: | 20030711 |
|
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: | 20040805 | Corrected By: | 20040921 |
|
4
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040805 | Corrected By: | 20040921 |
|
3
1...12
|
Administration: Follow all laws and professional standards.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
3
1...12
|
Resident Rights: Provide proof that all residents' personal money which is deposited with the nursing home, is secure.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040805 | Corrected By: | 20040921 |
|
3
1...12
|
Nutrition and Diet: 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
3
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040805 | Corrected By: | 20041101 |
|
3
1...12
|
Administration: Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040805 | Corrected By: | 20040921 |
|
2
1...12
|
Pharmacy Service: Make sure that residents are safe from serious medication errors.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|
2
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050810 | Corrected By: | 20050921 |
|