| 2% | Percent of Residents Who Have Moderate to Severe Pain |
| 16% | Percent of Short-Stay Residents With Pressure Sores |
| 10% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 1% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 24% | Percent of Residents Who are More Depressed or Anxious |
| 13% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 54% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 3% | Percent of Short-Stay Residents With Delirium |
| 7% | Percent of Residents Who Lose Too Much Weight |
| 9% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 5% | Percent of Residents Who Were Physically Restrained |
| 15% | Percent of High-Risk Residents Who Have Pressure Sores |
| 8% | Percent of Residents With a Urinary Tract Infection |
| 19% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
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: | 20060428 | Corrected By: | 20060602 |
|
6
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20040812 | Corrected By: | 20040926 |
|
5
1...12
|
Environmental: Make sure that staff members wash their hands when needed.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030911 | Corrected By: | 20031125 |
|
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: | 20060428 | Corrected By: | 20060602 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040812 | Corrected By: | 20040926 |
|
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: | 20060428 | Corrected By: | 20060602 |
|
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: | 20060428 | Corrected By: | 20060602 |
|
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: | 20060428 | Corrected By: | 20060602 |
|
4
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: | Isolated |
| Survey Date: | 20060428 | Corrected By: | 20060602 |
|
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: | 20030911 | Corrected By: | 20031125 |
|
4
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: | Isolated |
| Survey Date: | 20060428 | Corrected By: | 20060602 |
|
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: | 20060428 | Corrected By: | 20060602 |
|
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: | 20060428 | Corrected By: | 20060602 |
|
4
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: | Isolated |
| Survey Date: | 20060428 | Corrected By: | 20060602 |
|
4
1...12
|
Environmental: Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060428 | Corrected By: | 20060602 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040812 | Corrected By: | 20040926 |
|
4
1...12
|
Environmental: Put firmly secured handrails on each side of hallways.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040812 | Corrected By: | 20040926 |
|
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: | 20040812 | Corrected By: | 20040926 |
|
4
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: | Isolated |
| Survey Date: | 20030911 | Corrected By: | 20031125 |
|
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: | 20040812 | Corrected By: | 20040926 |
|
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: | 20040812 | Corrected By: | 20040926 |
|
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: | 20040812 | Corrected By: | 20040926 |
|
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: | 20040812 | Corrected By: | 20040926 |
|
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: | 20040812 | Corrected By: | 20040926 |
|
4
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040812 | Corrected By: | 20040926 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040812 | Corrected By: | 20040926 |
|
4
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040812 | Corrected By: | 20040926 |
|
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: | 20040812 | Corrected By: | 20040926 |
|
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: | 20040812 | Corrected By: | 20040926 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060428 | Corrected By: | 20060602 |
|
3
1...12
|
Environmental: Keep sound levels comfortable.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20060428 | Corrected By: | 20060602 |
|
3
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: | Widespread |
| Survey Date: | 20060428 | Corrected By: | 20060602 |
|