| 8% | Percent of Residents Who are More Depressed or Anxious |
| 4% | 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 |
| 6% | Percent of Residents With a Urinary Tract Infection |
| 62% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 2% | Percent of Residents Who Were Physically Restrained |
| 4% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 8% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 1% | Percent of Short-Stay Residents With Delirium |
| 2% | Percent of Residents Who Have Moderate to Severe Pain |
| 7% | Percent of High-Risk Residents Who Have Pressure Sores |
| 7% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 23% | Percent of Short-Stay Residents With Pressure Sores |
| 13% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
5
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: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030828 | Corrected By: | 20031014 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040924 | Corrected By: | 20041025 |
|
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: | 20040924 | Corrected By: | 20041101 |
|
5
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: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040924 | Corrected By: | 20041101 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051110 | Corrected By: | 20051201 |
|
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: | 20040924 | Corrected By: | 20041101 |
|
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: | 20040924 | Corrected By: | 20041101 |
|
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: | 20051110 | Corrected By: | 20051202 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030828 | Corrected By: | 20031014 |
|
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: | 20030828 | Corrected By: | 20031014 |
|
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: | 20030828 | Corrected By: | 20031014 |
|
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: | 20030828 | Corrected By: | 20031014 |
|
3
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030828 | Corrected By: | 20031014 |
|
2
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030828 | Corrected By: | 20031014 |
|
2
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030828 | Corrected By: | 20031014 |
|
2
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030828 | Corrected By: | 20031114 |
|