| 16% | Percent of Short-Stay Residents With Pressure Sores |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
| 48% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 2% | Percent of Short-Stay Residents With Delirium |
| 15% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 20% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 9% | 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 Lose Too Much Weight |
| 6% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 1% | Percent of Residents Who Were Physically Restrained |
| 3% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
6
1...12
|
Environmental: Make sure there is a program to prevent/deal with mice, insects, or other pests.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20050623 | Corrected By: | 20050713 |
|
5
1...12
|
Environmental: Make sure there is a program to prevent/deal with mice, insects, or other pests.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060714 | Corrected By: | 20060813 |
|
5
1...12
|
Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060714 | Corrected By: | 20060813 |
|
5
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: | Pattern |
| Survey Date: | 20060714 | Corrected By: | 20060813 |
|
5
1...12
|
Administration: Make sure that nurse aides show they have the skills to be able to care for residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050623 | Corrected By: | 20050723 |
|
5
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050623 | Corrected By: | 20050722 |
|
5
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: | Pattern |
| Survey Date: | 20050623 | Corrected By: | 20050722 |
|
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: | 20050623 | Corrected By: | 20050721 |
|
5
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050623 | Corrected By: | 20050721 |
|
5
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: | Pattern |
| Survey Date: | 20050623 | Corrected By: | 20050720 |
|
5
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040820 | Corrected By: | 20040920 |
|
5
1...12
|
Resident Rights: Have a private telephone available for use.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050623 | Corrected By: | 20050718 |
|
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: | 20050623 | Corrected By: | 20050722 |
|
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: | 20060714 | Corrected By: | 20060813 |
|
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: | 20040820 | Corrected By: | 20040920 |
|
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: | 20040820 | Corrected By: | 20040920 |
|
3
1...12
|
Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040820 | Corrected By: | 20040920 |
|
3
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: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040820 | Corrected By: | 20040920 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050623 | Corrected By: | 20050705 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060714 | Corrected By: | 20060813 |
|