| 13% | Percent of Residents With a Urinary Tract Infection |
| 30% | Percent of High-Risk Residents Who Have Pressure Sores |
| 19% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 10% | Percent of Residents Who are More Depressed or Anxious |
| 7% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 20% | Percent of Short-Stay Residents With Pressure Sores |
| 34% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 7% | Percent of Residents Who Lose Too Much Weight |
| 1% | Percent of Short-Stay Residents With Delirium |
| 3% | Percent of Residents Who Have Moderate to Severe Pain |
| 1% | Percent of Residents Who Were Physically Restrained |
| 9% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 20% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 13% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 3% | Percent of Low-Risk Residents Who Have Pressure Sores |
8
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Actual harm | Scope: | Pattern |
| Survey Date: | 20050325 | Corrected By: | 20050509 |
|
8
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Actual harm | Scope: | Pattern |
| Survey Date: | 20050325 | Corrected By: | 20050509 |
|
4
1...12
|
Pharmacy Service: Keep drugs and other similar products locked safely and properly stored.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040128 | Corrected By: | 20040325 |
|
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: | 20040128 | Corrected By: | 20040325 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040128 | Corrected By: | 20040325 |
|
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: | 20050325 | Corrected By: | 20050509 |
|
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: | 20050325 | Corrected By: | 20050509 |
|
4
1...12
|
Quality Care: Provide social services for related medical problems to help each resident achieve the highest possible quality of life.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050325 | Corrected By: | 20050509 |
|
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: | 20050325 | Corrected By: | 20050509 |
|
4
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: | Isolated |
| Survey Date: | 20050325 | Corrected By: | 20050509 |
|
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: | 20050325 | Corrected By: | 20050509 |
|
4
1...12
|
Resident Rights: Quickly give a resident's personal money to the heads of his or her estate after the resident's death.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20021212 | Corrected By: | 20030207 |
|
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: | 20021212 | Corrected By: | 20030313 |
|
4
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20021212 | Corrected By: | 20030207 |
|
4
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20021212 | Corrected By: | 20030313 |
|
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: | 20021212 | Corrected By: | 20030313 |
|
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: | 20040128 | Corrected By: | 20040325 |
|
4
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: | Isolated |
| Survey Date: | 20040128 | Corrected By: | 20040325 |
|
4
1...12
|
Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040128 | Corrected By: | 20040325 |
|
4
1...12
|
Resident Rights: Provide services to meet the needs and preferences of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040128 | Corrected By: | 20040325 |
|
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: | 20040128 | Corrected By: | 20040325 |
|
4
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20021212 | Corrected By: | 20030207 |
|
3
1...12
|
Administration: Hire a qualified social worker; or in homes with more than 120 beds, hire a qualified full-time social worker.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20021212 | Corrected By: | 20030313 |
|
3
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050325 | Corrected By: | 20050509 |
|
3
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040128 | Corrected By: | 20040325 |
|
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: | 20040128 | Corrected By: | 20040325 |
|