| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 3% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 27% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 16% | Percent of Residents Who Were Physically Restrained |
| 5% | Percent of Residents Who Have Moderate to Severe Pain |
| 9% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 9% | Percent of High-Risk Residents Who Have Pressure Sores |
| 72% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 17% | Percent of Residents With a Urinary Tract Infection |
| 11% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 14% | Percent of Residents Who are More Depressed or Anxious |
| 11% | Percent of Short-Stay Residents With Pressure Sores |
| 3% | Percent of Short-Stay Residents With Delirium |
| 12% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 22% | Percent of Residents Who Lose Too Much Weight |
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: | 20050505 | Corrected By: | 20050526 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050505 | Corrected By: | 20050525 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060406 | Corrected By: | 20060425 |
|
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: | 20060406 | Corrected By: | 20060420 |
|
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: | 20060406 | Corrected By: | 20060428 |
|
4
1...12
|
Nutrition and Diet: Hire enough skilled workers to carry out dietary service.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050505 | Corrected By: | 20050526 |
|
4
1...12
|
Pharmacy Service: Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050505 | Corrected By: | 20050623 |
|
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: | 20050505 | Corrected By: | 20050526 |
|
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: | 20060406 | Corrected By: | 20060529 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050505 | Corrected By: | 20050526 |
|
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: | 20060406 | Corrected By: | 20060420 |
|
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: | 20060406 | Corrected By: | 20060420 |
|
4
1...12
|
Resident Assessment: Keep assessments completed in the preceding 15 months in the resident's active record.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060406 | Corrected By: | 20060425 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060406 | Corrected By: | 20060425 |
|
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: | 20050505 | Corrected By: | 20050526 |
|
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: | 20040429 | Corrected By: | 20040529 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040429 | Corrected By: | 20040529 |
|
4
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040429 | Corrected By: | 20040529 |
|
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: | 20050505 | Corrected By: | 20050525 |
|
4
1...12
|
Resident Rights: Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050505 | Corrected By: | 20050525 |
|
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: | 20040429 | Corrected By: | 20040529 |
|
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: | 20050505 | Corrected By: | 20050526 |
|
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: | 20050505 | Corrected By: | 20050526 |
|
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: | 20040429 | Corrected By: | 20040529 |
|
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: | 20050505 | Corrected By: | 20050525 |
|
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: | 20050505 | Corrected By: | 20050525 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040429 | Corrected By: | 20040514 |
|