| 0% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 15% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Residents Who Were Physically Restrained |
| 0% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 21% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of High-Risk Residents Who Have Pressure Sores |
| NA% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| NA% | Percent of Short-Stay Residents With Delirium |
| NA% | Percent of Short-Stay Residents With Pressure Sores |
| 2% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 5% | Percent of Residents Who Have Moderate to Severe Pain |
| 1% | Percent of Residents With a Urinary Tract Infection |
| 0% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
7
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20050916 | Corrected By: | 20051011 |
|
7
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20050916 | Corrected By: | 20051006 |
|
5
1...12
|
Environmental: Keep temperature levels comfortable and safe.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050916 | Corrected By: | 20051107 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20031212 | Corrected By: | 20040111 |
|
5
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20041008 | Corrected By: | 20041029 |
|
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: | 20041008 | Corrected By: | 20041009 |
|
4
1...12
|
Environmental: Make sure that a working call system is available in each resident's room or bathroom and bathing area.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031212 | Corrected By: | 20040109 |
|
4
1...12
|
Environmental: Keep temperature levels comfortable and safe.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031212 | Corrected By: | 20031213 |
|
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: | 20050916 | Corrected By: | 20050920 |
|
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: | 20050916 | Corrected By: | 20050930 |
|
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: | 20050916 | Corrected By: | 20051006 |
|
3
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20041008 | Corrected By: | 20041108 |
|
3
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: | Widespread |
| Survey Date: | 20041008 | Corrected By: | 20041108 |
|
3
1...12
|
Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050916 | Corrected By: | 20051106 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050916 | Corrected By: | 20051028 |
|
2
1...12
|
Environmental: Make sure that a working call system is available in each resident's room or bathroom and bathing area.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20041008 | Corrected By: | 20041009 |
|
2
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20031212 | Corrected By: | 20040111 |
|
2
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050916 | Corrected By: | 20050920 |
|