| 7% | Percent of Short-Stay Residents With Pressure Sores |
| 10% | Percent of High-Risk Residents Who Have Pressure Sores |
| 56% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 16% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 23% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 21% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 6% | Percent of Residents Who Lose Too Much Weight |
| 4% | Percent of Residents Who Were Physically Restrained |
| 4% | Percent of Residents Who Have Moderate to Severe Pain |
| 20% | Percent of Residents Who are More Depressed or Anxious |
| 12% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 2% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 13% | Percent of Residents With a Urinary Tract Infection |
| 1% | Percent of Short-Stay Residents With Delirium |
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: | 20060413 | Corrected By: | 20060525 |
|
6
1...12
|
Nutrition and Diet: 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20041216 | Corrected By: | 20050204 |
|
5
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: | Pattern |
| Survey Date: | 20041216 | Corrected By: | 20050204 |
|
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: | 20060413 | Corrected By: | 20060707 |
|
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: | 20060413 | Corrected By: | 20060525 |
|
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: | 20060413 | Corrected By: | 20060525 |
|
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: | 20060413 | Corrected By: | 20060525 |
|
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: | 20041216 | Corrected By: | 20050204 |
|
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: | 20041216 | Corrected By: | 20050204 |
|
4
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: | Isolated |
| Survey Date: | 20041216 | Corrected By: | 20050204 |
|
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: | 20041216 | Corrected By: | 20050204 |
|
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: | 20060413 | Corrected By: | 20060707 |
|
3
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: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20041216 | Corrected By: | 20050204 |
|