| 14% | Percent of Short-Stay Residents With Pressure Sores |
| 24% | Percent of High-Risk Residents Who Have Pressure Sores |
| 9% | Percent of Residents With a Urinary Tract Infection |
| 10% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 3% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 9% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 2% | Percent of Residents Who are More Depressed or Anxious |
| 28% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 8% | Percent of Residents Who Lose Too Much Weight |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 15% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Short-Stay Residents With Delirium |
| 5% | Percent of Residents Who Have Moderate to Severe Pain |
| 18% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 2% | Percent of Residents Who Were Physically Restrained |
7
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20050114 | Corrected By: | 20050213 |
|
5
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: | Pattern |
| Survey Date: | 20051103 | Corrected By: | 20051217 |
|
5
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040227 | Corrected By: | 20040331 |
|
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: | 20051103 | Corrected By: | 20051217 |
|
5
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: | Pattern |
| Survey Date: | 20040227 | Corrected By: | 20040331 |
|
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: | 20040227 | Corrected By: | 20040228 |
|
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: | 20050114 | Corrected By: | 20050213 |
|
4
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: | Isolated |
| Survey Date: | 20050114 | Corrected By: | 20050213 |
|
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: | 20040227 | Corrected By: | 20040303 |
|
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: | 20051103 | Corrected By: | 20051217 |
|
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: | 20051103 | Corrected By: | 20051217 |
|
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: | 20040227 | Corrected By: | 20040324 |
|
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: | 20040227 | Corrected By: | 20040331 |
|
4
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: | Isolated |
| Survey Date: | 20040227 | Corrected By: | 20040324 |
|
3
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040227 | Corrected By: | 20040410 |
|
3
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20051103 | Corrected By: | 20051217 |
|
2
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040227 | Corrected By: | 20040304 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050114 | Corrected By: | 20050213 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050114 | Corrected By: | 20050213 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050114 | Corrected By: | 20050213 |
|
2
1...12
|
Environmental: Make sure there is a program to prevent/deal with mice, insects, or other pests.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040227 | Corrected By: | 20040331 |
|
2
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050114 | Corrected By: | 20050213 |
|