| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents With Pressure Sores |
| 7% | Percent of High-Risk Residents Who Have Pressure Sores |
| 8% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 15% | Percent of Residents With a Urinary Tract Infection |
| 42% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 14% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 2% | Percent of Short-Stay Residents With Delirium |
| 24% | Percent of Residents Who are More Depressed or Anxious |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 22% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 14% | Percent of Residents Who Lose Too Much Weight |
| 33% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 14% | Percent of Residents Who Have Moderate to Severe Pain |
| 4% | Percent of Residents Who Were Physically Restrained |
7
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20041216 | Corrected By: | 20050130 |
|
7
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: | Isolated |
| Survey Date: | 20041216 | Corrected By: | 20050130 |
|
6
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: | Widespread |
| Survey Date: | 20031219 | Corrected By: | 20040204 |
|
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: | 20031219 | Corrected By: | 20040204 |
|
5
1...12
|
Nutrition and Diet: Hire enough skilled workers to carry out dietary service.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20031219 | Corrected By: | 20040204 |
|
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: | 20031219 | Corrected By: | 20040204 |
|
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: | 20031219 | Corrected By: | 20040204 |
|
4
1...12
|
Quality Care: Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041216 | Corrected By: | 20050130 |
|
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: | 20041216 | Corrected By: | 20050130 |
|
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: | 20031219 | Corrected By: | 20040204 |
|
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: | 20041216 | Corrected By: | 20050130 |
|
4
1...12
|
Environmental: Make sure that a working call system is available in each resident's room or bathroom and bathing area.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041216 | Corrected By: | 20050130 |
|
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: | 20060224 | Corrected By: | 20060410 |
|
4
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: | Isolated |
| Survey Date: | 20031219 | Corrected By: | 20040204 |
|
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: | 20060224 | Corrected By: | 20060410 |
|
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: | 20031219 | Corrected By: | 20040204 |
|
4
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031219 | Corrected By: | 20040204 |
|
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: | 20031219 | Corrected By: | 20040204 |
|
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: | 20031219 | Corrected By: | 20040204 |
|
4
1...12
|
Resident Rights: Provide proof that all residents' personal money which is deposited with the nursing home, is secure.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031219 | Corrected By: | 20040204 |
|
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: | 20031219 | Corrected By: | 20040204 |
|
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: | 20031219 | Corrected By: | 20040204 |
|
3
1...12
|
Resident Rights: Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20031219 | Corrected By: | 20040204 |
|
3
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20031219 | Corrected By: | 20040204 |
|
2
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060224 | Corrected By: | 20060410 |
|
2
1...12
|
Resident Rights: Let residents complain without being treated differently or badly.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20031219 | Corrected By: | 20040204 |
|