| 0% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 0% | Percent of Short-Stay Residents With Delirium |
| 0% | Percent of Short-Stay Residents With Pressure Sores |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
| 9% | Percent of Residents Who Lose Too Much Weight |
| 3% | Percent of Residents With a Urinary Tract Infection |
| 4% | Percent of Residents Who are More Depressed or Anxious |
| 6% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 5% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 3% | Percent of Residents Who Were Physically Restrained |
| 45% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 13% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 2% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
12
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Widespread |
| Survey Date: | 20050218 | Corrected By: | 20050222 |
|
12
1...12
|
Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Widespread |
| Survey Date: | 20050218 | Corrected By: | 20050222 |
|
12
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: | Immediate jeopardy to resident health or safety | Scope: | Widespread |
| Survey Date: | 20050218 | Corrected By: | 20050222 |
|
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: | 20050218 | Corrected By: | 20050222 |
|
5
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: | Pattern |
| Survey Date: | 20050218 | Corrected By: | 20050228 |
|
5
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: | Pattern |
| Survey Date: | 20051215 | Corrected By: | 20060129 |
|
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: | 20050218 | Corrected By: | 20050228 |
|
5
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: | Pattern |
| Survey Date: | 20051215 | Corrected By: | 20060129 |
|
5
1...12
|
Nutrition and Diet: Provide food in a way that meets a resident's needs.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051215 | Corrected By: | 20060129 |
|
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: | 20040109 | Corrected By: | 20040127 |
|
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: | 20051215 | Corrected By: | 20060129 |
|
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: | 20051215 | Corrected By: | 20060129 |
|
4
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: | Isolated |
| Survey Date: | 20051215 | Corrected By: | 20060129 |
|
4
1...12
|
Pharmacy Service: Make sure that residents are safe from serious medication errors.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050218 | Corrected By: | 20050228 |
|
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: | 20050218 | Corrected By: | 20050721 |
|
3
1...12
|
Environmental: Put firmly secured handrails on each side of hallways.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040109 | Corrected By: | 20040127 |
|
3
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20051215 | Corrected By: | 20060129 |
|
3
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050218 | Corrected By: | 20050222 |
|
3
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050218 | Corrected By: | 20050304 |
|
3
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040109 | Corrected By: | 20040127 |
|
2
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20051215 | Corrected By: | 20060129 |
|
2
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050218 | Corrected By: | 20050228 |
|
2
1...12
|
Resident Rights: Have a private telephone available for use.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050218 | Corrected By: | 20050223 |
|
2
1...12
|
Resident Rights: Keep each resident's personal and medical records private and confidential.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050218 | Corrected By: | 20050222 |
|
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: | 20040109 | Corrected By: | 20040127 |
|