| 0% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 4% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 2% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents With Delirium |
| 0% | Percent of Short-Stay Residents With Pressure Sores |
| 3% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 18% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 5% | Percent of Residents Who Were Physically Restrained |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 12% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 9% | Percent of Residents Who are More Depressed or Anxious |
| 59% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
11
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Pattern |
| Survey Date: | 20060227 | Corrected By: | 20060414 |
|
7
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20050128 | Corrected By: | 20050330 |
|
6
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20060227 | Corrected By: | 20060414 |
|
6
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20060227 | Corrected By: | 20060414 |
|
6
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: | Widespread |
| Survey Date: | 20060227 | Corrected By: | 20060503 |
|
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: | 20060227 | Corrected By: | 20060414 |
|
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: | 20060227 | Corrected By: | 20060414 |
|
5
1...12
|
Pharmacy Service: Keep drugs and other similar products locked safely and properly stored.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060227 | Corrected By: | 20060414 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060227 | Corrected By: | 20060414 |
|
5
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060227 | Corrected By: | 20060414 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060227 | Corrected By: | 20060414 |
|
5
1...12
|
Environmental: Keep sound levels comfortable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050128 | Corrected By: | 20050330 |
|
5
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050128 | Corrected By: | 20050330 |
|
5
1...12
|
Resident Assessment: Check and update (if needed) each resident's assessment every 3 months.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040520 | Corrected By: | 20040803 |
|
4
1...12
|
Quality Care: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060227 | Corrected By: | 20060414 |
|
4
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050128 | Corrected By: | 20050330 |
|
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: | 20060227 | Corrected By: | 20060414 |
|
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: | 20060227 | Corrected By: | 20060414 |
|
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: | 20060227 | Corrected By: | 20060414 |
|
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: | 20050128 | Corrected By: | 20050330 |
|
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: | 20040520 | Corrected By: | 20040803 |
|
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: | 20050128 | Corrected By: | 20050330 |
|