| 46% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 2% | Percent of Residents Who Lose Too Much Weight |
| 42% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 1% | Percent of Residents Who Were Physically Restrained |
| 7% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 16% | Percent of Short-Stay Residents With Pressure Sores |
| 5% | Percent of Residents Who Have Moderate to Severe Pain |
| 26% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 1% | Percent of Short-Stay Residents With Delirium |
| 3% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 14% | Percent of Residents With a Urinary Tract Infection |
| 5% | Percent of Residents Who are More Depressed or Anxious |
| 18% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 6% | Percent of High-Risk Residents Who Have Pressure Sores |
6
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
6
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: | Widespread |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
6
1...12
|
Quality Care: Have enough nurses to care for every resident in a way that maximizes the resident's well being.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
6
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
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: | 20060525 | Corrected By: | 20060709 |
|
5
1...12
|
Nutrition and Diet: Offer other nutritional food to each resident who will not eat the food served.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
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: | 20030920 | Corrected By: | 20031103 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
4
1...12
|
Resident Rights: Allow residents to easily see the results of the nursing home's most recent survey.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041111 | Corrected By: | 20041225 |
|
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: | 20060525 | Corrected By: | 20060709 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060525 | Corrected By: | 20060709 |
|
4
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: | Isolated |
| Survey Date: | 20041111 | Corrected By: | 20041225 |
|
4
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041111 | Corrected By: | 20041225 |
|
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: | 20041111 | Corrected By: | 20041225 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041111 | Corrected By: | 20041225 |
|
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: | 20060525 | Corrected By: | 20060709 |
|
4
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041111 | Corrected By: | 20041225 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
4
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: | Isolated |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
4
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: | Isolated |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
4
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: | Isolated |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
4
1...12
|
Resident Assessment: Do a new assessment after any major change in a resident's physical or mental health.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
4
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: | Isolated |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
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: | 20030920 | Corrected By: | 20031103 |
|
4
1...12
|
Resident Assessment: Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|
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: | 20030920 | Corrected By: | 20031103 |
|
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: | 20030920 | Corrected By: | 20031103 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060525 | Corrected By: | 20060709 |
|
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: | 20060525 | Corrected By: | 20060709 |
|
3
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030920 | Corrected By: | 20031103 |
|