| 8% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Residents Who Were Physically Restrained |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 48% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 14% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 12% | Percent of Residents Who Lose Too Much Weight |
| 17% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
| 11% | Percent of High-Risk Residents Who Have Pressure Sores |
| 10% | Percent of Short-Stay Residents With Pressure Sores |
| 16% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 6% | Percent of Residents With a Urinary Tract Infection |
| 1% | Percent of Short-Stay Residents With Delirium |
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20031229 | Corrected By: | 20040219 |
|
5
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: | Pattern |
| Survey Date: | 20031229 | Corrected By: | 20040219 |
|
5
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: | Pattern |
| Survey Date: | 20031229 | Corrected By: | 20040219 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050120 | Corrected By: | 20050314 |
|
5
1...12
|
Resident Assessment: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20031229 | Corrected By: | 20040219 |
|
5
1...12
|
Environmental: Keep a resident apart from the others if the resident has an infection that can spread.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050120 | Corrected By: | 20050314 |
|
5
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20031229 | Corrected By: | 20040219 |
|
5
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: | Pattern |
| Survey Date: | 20031229 | Corrected By: | 20040219 |
|
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: | 20050120 | Corrected By: | 20050314 |
|
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: | 20060203 | Corrected By: | 20060324 |
|
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: | 20050120 | Corrected By: | 20050314 |
|
4
1...12
|
Administration: Get services outside the nursing home that meet professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050120 | Corrected By: | 20050314 |
|
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: | 20060203 | Corrected By: | 20060324 |
|
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: | 20060203 | Corrected By: | 20060324 |
|
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: | 20050120 | Corrected By: | 20050314 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060203 | Corrected By: | 20060324 |
|
4
1...12
|
Administration: Give lab tests only when the attending doctor ordered them.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031229 | Corrected By: | 20040219 |
|
4
1...12
|
Pharmacy Service: Act when the pharmacist reports something unusual.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031229 | Corrected By: | 20040219 |
|
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: | 20060203 | Corrected By: | 20060324 |
|
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: | 20031229 | Corrected By: | 20040219 |
|
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: | 20050120 | Corrected By: | 20050314 |
|
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: | 20050120 | Corrected By: | 20050314 |
|
3
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050120 | Corrected By: | 20050314 |
|
3
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050120 | Corrected By: | 20050314 |
|
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: | 20031229 | Corrected By: | 20040219 |
|
3
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20031229 | Corrected By: | 20040219 |
|
2
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050120 | Corrected By: | |
|