| 0% | Percent of Short-Stay Residents With Pressure Sores |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Short-Stay Residents With Delirium |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 3% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 0% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 16% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 7% | Percent of High-Risk Residents Who Have Pressure Sores |
| 8% | Percent of Residents Who are More Depressed or Anxious |
| 6% | Percent of Residents Who Were Physically Restrained |
| 10% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Residents With a Urinary Tract Infection |
| 33% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 8% | Percent of Residents Who Lose Too Much Weight |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
10
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040727 |
|
6
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: | Widespread |
| Survey Date: | 20040624 | Corrected By: | 20040727 |
|
5
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030523 | Corrected By: | 20030629 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051006 | Corrected By: | 20051120 |
|
5
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: | Pattern |
| Survey Date: | 20030523 | Corrected By: | 20030629 |
|
5
1...12
|
Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030523 | Corrected By: | 20030629 |
|
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: | 20051006 | Corrected By: | 20051120 |
|
4
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: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040727 |
|
4
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040624 | Corrected By: | 20040727 |
|
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: | 20040624 | Corrected By: | 20040727 |
|
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: | 20040624 | Corrected By: | 20040727 |
|
4
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: | Isolated |
| Survey Date: | 20030523 | Corrected By: | 20030629 |
|
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: | 20030523 | Corrected By: | 20030629 |
|
4
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030523 | Corrected By: | 20030629 |
|
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: | 20030523 | Corrected By: | 20030629 |
|
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: | 20051006 | Corrected By: | 20051120 |
|
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: | 20030523 | Corrected By: | 20030629 |
|