| 0% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Residents Who Were Physically Restrained |
| 0% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Residents With a Urinary Tract Infection |
| 0% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 0% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 0% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Short-Stay Residents With Delirium |
| 0% | Percent of Short-Stay Residents With Pressure Sores |
7
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: | Actual harm | Scope: | Isolated |
| Survey Date: | 20030123 | Corrected By: | 20030226 |
|
7
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20050505 | Corrected By: | 20050621 |
|
5
1...12
|
Pharmacy Service: Act when the pharmacist reports something unusual.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050505 | Corrected By: | 20050621 |
|
5
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: | Pattern |
| Survey Date: | 20050505 | Corrected By: | 20050621 |
|
5
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: | Pattern |
| Survey Date: | 20040310 | Corrected By: | 20040401 |
|
5
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050505 | Corrected By: | 20050621 |
|
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: | 20040310 | Corrected By: | 20040401 |
|
5
1...12
|
Resident Assessment: Check and update (if needed) each resident's assessment every 3 months.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030123 | Corrected By: | 20030226 |
|
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: | 20030123 | Corrected By: | 20030226 |
|
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: | 20030123 | Corrected By: | 20030226 |
|
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: | 20050505 | Corrected By: | 20050621 |
|
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: | 20050505 | Corrected By: | 20050621 |
|
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: | 20040310 | Corrected By: | 20040401 |
|
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: | 20030123 | Corrected By: | 20030226 |
|
3
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: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030123 | Corrected By: | 20030226 |
|
3
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050505 | Corrected By: | 20050621 |
|
2
1...12
|
Resident Assessment: Keep assessments completed in the preceding 15 months in the resident's active record.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030123 | Corrected By: | 20030226 |
|
2
1...12
|
Environmental: Make sure that staff members wash their hands when needed.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030123 | Corrected By: | 20030226 |
|