| 9% | Percent of High-Risk Residents Who Have Pressure Sores |
| 14% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 7% | Percent of Residents Who Have Moderate to Severe Pain |
| 31% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 20% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Short-Stay Residents With Delirium |
| 3% | Percent of Residents Who Were Physically Restrained |
| 9% | Percent of Residents Who are More Depressed or Anxious |
| 45% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 7% | Percent of Residents With a Urinary Tract Infection |
| 10% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 21% | Percent of Short-Stay Residents With Pressure Sores |
| 15% | Percent of Residents Who Lose Too Much Weight |
| 6% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 11% | 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: | 20030528 | Corrected By: | 20030715 |
|
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: | 20040720 | Corrected By: | 20040831 |
|
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: | 20040720 | Corrected By: | 20040720 |
|
5
1...12
|
Administration: Give lab tests only when the attending doctor ordered them.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040831 |
|
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: | 20030528 | Corrected By: | 20030715 |
|
5
1...12
|
Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030528 | Corrected By: | 20030528 |
|
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: | 20050812 | Corrected By: | 20051010 |
|
5
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: | Pattern |
| Survey Date: | 20030528 | Corrected By: | 20030715 |
|
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: | 20050812 | Corrected By: | 20051005 |
|
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: | 20050812 | Corrected By: | 20051005 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040720 | Corrected By: | 20040831 |
|
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: | 20050812 | Corrected By: | 20051005 |
|
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: | 20040720 | Corrected By: | 20040827 |
|
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: | 20040720 | Corrected By: | 20040831 |
|
4
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: | Isolated |
| Survey Date: | 20030528 | Corrected By: | 20030528 |
|
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: | 20030528 | Corrected By: | 20030715 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030528 | Corrected By: | 20030715 |
|
4
1...12
|
Quality Care: Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030528 | Corrected By: | 20030715 |
|
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: | 20030528 | Corrected By: | 20030715 |
|
4
1...12
|
Resident Rights: Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040720 | Corrected By: | 20040722 |
|
4
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: | Isolated |
| Survey Date: | 20040720 | Corrected By: | 20040722 |
|
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: | 20050812 | Corrected By: | 20051008 |
|
3
1...12
|
Environmental: Have enough outside airflow.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050812 | Corrected By: | 20051008 |
|
2
1...12
|
Nutrition and Diet: Offer other nutritional food to each resident who will not eat the food served.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030528 | Corrected By: | 20030715 |
|
2
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050812 | Corrected By: | 20050930 |
|
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: | 20050812 | Corrected By: | 20051005 |
|
2
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: | Pattern |
| Survey Date: | 20030528 | Corrected By: | 20030701 |
|
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: | 20040720 | Corrected By: | 20040720 |
|
2
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: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040826 |
|
2
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040720 |
|
2
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040720 |
|
2
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: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040830 |
|
2
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040720 | Corrected By: | 20040724 |
|
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: | 20040720 | Corrected By: | 20040824 |
|