| 6% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 14% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 18% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 26% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 45% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 9% | Percent of Residents Who Lose Too Much Weight |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 5% | Percent of Residents Who are More Depressed or Anxious |
| 8% | Percent of Residents Who Were Physically Restrained |
| 4% | Percent of High-Risk Residents Who Have Pressure Sores |
| 9% | Percent of Residents With a Urinary Tract Infection |
| 5% | Percent of Short-Stay Residents With Pressure Sores |
| 10% | Percent of Short-Stay Residents With Delirium |
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: | 20050520 | Corrected By: | 20050704 |
|
6
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: | Widespread |
| Survey Date: | 20040604 | Corrected By: | 20040717 |
|
5
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: | Pattern |
| Survey Date: | 20050520 | Corrected By: | 20050704 |
|
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: | 20050520 | Corrected By: | 20050704 |
|
5
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: | Pattern |
| Survey Date: | 20050520 | Corrected By: | 20050704 |
|
5
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040604 | Corrected By: | 20040717 |
|
5
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: | Pattern |
| Survey Date: | 20040604 | Corrected By: | 20040717 |
|
5
1...12
|
Resident Assessment: Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050520 | Corrected By: | 20050704 |
|
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: | 20050520 | Corrected By: | 20050704 |
|
4
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060608 | Corrected By: | 20060714 |
|
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: | 20040604 | Corrected By: | 20040717 |
|
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: | 20050520 | Corrected By: | 20050704 |
|
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: | 20050520 | Corrected By: | 20050704 |
|
4
1...12
|
Mistreatment: Keep each resident free from physical restraints, unless needed for medical treatment.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050520 | Corrected By: | 20050704 |
|
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: | 20040604 | Corrected By: | 20040820 |
|
4
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060608 | Corrected By: | 20060714 |
|