| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 11% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 18% | Percent of High-Risk Residents Who Have Pressure Sores |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Short-Stay Residents With Delirium |
| 4% | Percent of Residents Who Lose Too Much Weight |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 43% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 4% | Percent of Residents With a Urinary Tract Infection |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 14% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 7% | Percent of Residents Who are More Depressed or Anxious |
| 19% | Percent of Short-Stay Residents With Pressure Sores |
| 8% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 3% | Percent of Residents Who Were Physically Restrained |
11
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Pattern |
| Survey Date: | 20021025 | Corrected By: | 20021101 |
|
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: | 20021025 | Corrected By: | 20021101 |
|
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: | 20050217 | Corrected By: | 20050307 |
|
6
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: | Widespread |
| Survey Date: | 20021025 | Corrected By: | 20021115 |
|
6
1...12
|
Pharmacy Service: Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20021025 | Corrected By: | 20021101 |
|
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: | 20021025 | Corrected By: | 20021115 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20031211 | Corrected By: | 20040122 |
|
5
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20021025 | Corrected By: | 20021115 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050217 | Corrected By: | 20050307 |
|
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: | 20050217 | Corrected By: | 20050307 |
|
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: | 20050217 | Corrected By: | 20050307 |
|
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: | 20050217 | Corrected By: | 20050307 |
|
4
1...12
|
Resident Rights: Keep each resident's personal and medical records private and confidential.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050217 | Corrected By: | 20050307 |
|
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: | 20031211 | Corrected By: | 20040122 |
|
4
1...12
|
Environmental: Put firmly secured handrails on each side of hallways.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050217 | Corrected By: | 20050307 |
|
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: | 20031211 | Corrected By: | 20040122 |
|
2
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20021025 | Corrected By: | 20021115 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20021025 | Corrected By: | 20021115 |
|