| 0% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 0% | Percent of Short-Stay Residents With Delirium |
| 23% | Percent of Residents Who are More Depressed or Anxious |
| 5% | Percent of Residents Who Have Moderate to Severe Pain |
| 5% | Percent of Residents Who Were Physically Restrained |
| 12% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 12% | Percent of Residents With a Urinary Tract Infection |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents With Pressure Sores |
| 16% | Percent of Residents Who Lose Too Much Weight |
| 67% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 19% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 12% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 10% | Percent of High-Risk Residents Who Have Pressure Sores |
12
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: | Immediate jeopardy to resident health or safety | Scope: | Widespread |
| Survey Date: | 20060622 | Corrected By: | 20060703 |
|
12
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: | Widespread |
| Survey Date: | 20060622 | Corrected By: | 20060703 |
|
6
1...12
|
Administration: Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20060622 | Corrected By: | 20060708 |
|
5
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: | Pattern |
| Survey Date: | 20060622 | Corrected By: | 20060703 |
|
5
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: | Pattern |
| Survey Date: | 20060622 | Corrected By: | 20060703 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060622 | Corrected By: | 20060703 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050707 | Corrected By: | 20050720 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040604 | Corrected By: | 20040625 |
|
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: | 20040604 | Corrected By: | 20040625 |
|
4
1...12
|
Administration: Follow all laws and professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060622 | Corrected By: | 20060703 |
|
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: | 20060622 | Corrected By: | 20060703 |
|
4
1...12
|
Pharmacy Service: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060622 | Corrected By: | 20060705 |
|
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: | 20060622 | Corrected By: | 20060703 |
|
4
1...12
|
Nutrition and Diet: Make sure that the attending doctor orders special diets.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060622 | Corrected By: | 20060705 |
|
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: | 20060622 | Corrected By: | 20060705 |
|
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: | 20060622 | Corrected By: | 20060703 |
|
4
1...12
|
Mistreatment: Keep each resident free from physical restraints, unless needed for medical treatment.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060622 | Corrected By: | 20060705 |
|
4
1...12
|
Administration: Follow all laws and professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050707 | Corrected By: | 20050711 |
|
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: | 20050707 | Corrected By: | 20050720 |
|
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: | 20050707 | Corrected By: | 20050720 |
|
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: | 20050707 | Corrected By: | 20050720 |
|
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: | 20040604 | Corrected By: | 20040625 |
|
2
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040604 | Corrected By: | 20040625 |
|