| 1% | Percent of Residents Who Have Moderate to Severe Pain |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 12% | Percent of Residents With a Urinary Tract Infection |
| 13% | Percent of Short-Stay Residents With Pressure Sores |
| 36% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Residents Who Were Physically Restrained |
| 12% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Short-Stay Residents With Delirium |
| 20% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 3% | Percent of High-Risk Residents Who Have Pressure Sores |
| 18% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 4% | Percent of Residents Who are More Depressed or Anxious |
| 5% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 8% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
12
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: | Immediate jeopardy to resident health or safety | Scope: | Widespread |
| Survey Date: | 20030307 | Corrected By: | 20030311 |
|
12
1...12
|
Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Widespread |
| Survey Date: | 20030307 | Corrected By: | 20030311 |
|
12
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: | Widespread |
| Survey Date: | 20030307 | Corrected By: | 20030311 |
|
6
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20050428 | Corrected By: | 20050527 |
|
5
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: | Pattern |
| Survey Date: | 20050428 | Corrected By: | 20050527 |
|
5
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050428 | Corrected By: | 20050527 |
|
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: | 20050428 | Corrected By: | 20050527 |
|
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: | 20050428 | Corrected By: | 20050527 |
|
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: | 20050428 | Corrected By: | 20050527 |
|
4
1...12
|
Resident Rights: Let residents give themselves their drugs if they are able.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050428 | Corrected By: | 20050527 |
|
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: | 20030307 | Corrected By: | 20030311 |
|
4
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050428 | Corrected By: | 20050527 |
|
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: | 20040311 | Corrected By: | 20040326 |
|
4
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040311 | Corrected By: | 20040326 |
|
3
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050428 | Corrected By: | 20050527 |
|