| 0% | Percent of Short-Stay Residents With Delirium |
| 0% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 0% | Percent of Short-Stay Residents With Pressure Sores |
| 24% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 59% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 15% | Percent of Residents Who Lose Too Much Weight |
| 9% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 13% | Percent of Residents Who are More Depressed or Anxious |
| 7% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 14% | Percent of High-Risk Residents Who Have Pressure Sores |
| 4% | Percent of Residents Who Have Moderate to Severe Pain |
| 6% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 31% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Residents Who Were Physically Restrained |
| 9% | Percent of Residents With a Urinary Tract Infection |
10
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20040729 | Corrected By: | 20040809 |
|
10
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
10
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20040729 | Corrected By: | 20040809 |
|
10
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20040729 | Corrected By: | 20040809 |
|
10
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: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
10
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
7
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
7
1...12
|
Resident Assessment: Do a new assessment after any major change in a resident's physical or mental health.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
7
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040729 | Corrected By: | 20040908 |
|
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: | 20060205 | Corrected By: | 20060331 |
|
7
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
7
1...12
|
Quality Care: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
6
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: | Widespread |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
6
1...12
|
Administration: Follow all laws and professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
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: | 20040729 | Corrected By: | 20040908 |
|
5
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: | Pattern |
| Survey Date: | 20040729 | Corrected By: | 20040908 |
|
5
1...12
|
Quality Care: Have enough nurses to care for every resident in a way that maximizes the resident's well being.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
5
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
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: | 20060205 | Corrected By: | 20060331 |
|
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: | 20060205 | Corrected By: | 20060331 |
|
4
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060205 | Corrected By: | 20060512 |
|
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: | 20030508 | Corrected By: | 20030620 |
|
4
1...12
|
Resident Rights: Provide care for each resident in a way that keeps or builds the resident's quality of life.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060205 | Corrected By: | 20060331 |
|
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: | 20030508 | Corrected By: | 20030620 |
|
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: | 20030508 | Corrected By: | 20030620 |
|
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: | 20030508 | Corrected By: | 20030620 |
|
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: | 20030508 | Corrected By: | 20030620 |
|
4
1...12
|
Resident Assessment: Keep assessments completed in the preceding 15 months in the resident's active record.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030508 | Corrected By: | 20030620 |
|
4
1...12
|
Resident Rights: Provide care in a way that keeps or builds each resident's dignity and self respect.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040729 | Corrected By: | 20040908 |
|
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: | 20040729 | Corrected By: | 20040908 |
|
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: | 20040729 | Corrected By: | 20040908 |
|
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: | 20040729 | Corrected By: | 20040908 |
|
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: | 20040729 | Corrected By: | 20040908 |
|
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: | 20060205 | Corrected By: | 20060331 |
|
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: | 20060205 | Corrected By: | 20060331 |
|
4
1...12
|
Quality Care: Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030508 | Corrected By: | 20030620 |
|
2
1...12
|
Resident Rights: Have a private telephone available for use.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040729 | Corrected By: | 20040908 |
|
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: | 20060205 | Corrected By: | 20060331 |
|