| 8% | Percent of Residents Who Were Physically Restrained |
| 3% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 7% | Percent of Short-Stay Residents With Pressure Sores |
| 11% | Percent of Residents Who Lose Too Much Weight |
| 13% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 2% | Percent of High-Risk Residents Who Have Pressure Sores |
| 10% | Percent of Residents Who Have Moderate to Severe Pain |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 6% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Short-Stay Residents With Delirium |
| 9% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 31% | 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 |
5
1...12
|
Resident Rights: Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030522 | Corrected By: | 20030628 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050728 | Corrected By: | 20050831 |
|
5
1...12
|
Resident Rights: Provide care for each resident in a way that keeps or builds the resident's quality of life.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040611 | Corrected By: | 20040716 |
|
5
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: | Pattern |
| Survey Date: | 20050728 | Corrected By: | 20050831 |
|
5
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: | Pattern |
| Survey Date: | 20050728 | Corrected By: | 20050831 |
|
5
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: | Pattern |
| Survey Date: | 20050728 | Corrected By: | 20050831 |
|
5
1...12
|
Nutrition and Diet: Provide food in a way that meets a resident's needs.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050728 | Corrected By: | 20050831 |
|
5
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: | Pattern |
| Survey Date: | 20050728 | Corrected By: | 20050831 |
|
5
1...12
|
Resident Rights: Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030522 | Corrected By: | 20030628 |
|
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: | 20050728 | Corrected By: | 20050831 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050728 | Corrected By: | 20050831 |
|
4
1...12
|
Resident Rights: Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050728 | Corrected By: | 20050831 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040611 | Corrected By: | 20040716 |
|
4
1...12
|
Pharmacy Service: Act when the pharmacist reports something unusual.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040611 | Corrected By: | 20040716 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050728 | Corrected By: | 20050831 |
|
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: | 20030522 | Corrected By: | 20030628 |
|
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: | 20030522 | Corrected By: | 20030628 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040611 | Corrected By: | 20040716 |
|
4
1...12
|
Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040611 | Corrected By: | 20040716 |
|
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: | 20040611 | Corrected By: | 20040716 |
|
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: | 20040611 | Corrected By: | 20040716 |
|
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: | 20040611 | Corrected By: | 20040716 |
|
4
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: | Isolated |
| Survey Date: | 20040611 | Corrected By: | 20040716 |
|
3
1...12
|
Resident Rights: Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040611 | Corrected By: | 20040716 |
|
3
1...12
|
Environmental: Put firmly secured handrails on each side of hallways.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030522 | Corrected By: | 20030628 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040611 | Corrected By: | 20040716 |
|