| NA% | Percent of Short-Stay Residents With Delirium |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 3% | Percent of Residents Who Were Physically Restrained |
| 5% | Percent of High-Risk Residents Who Have Pressure Sores |
| 12% | Percent of Residents Who Have Moderate to Severe Pain |
| 88% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 7% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| NA% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| NA% | Percent of Short-Stay Residents With Pressure Sores |
| 0% | Percent of Residents Who Lose Too Much Weight |
| 4% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 1% | Percent of Residents With a Urinary Tract Infection |
| 2% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
6
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20060301 | Corrected By: | 20060420 |
|
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: | 20060301 | Corrected By: | 20060420 |
|
5
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: | Pattern |
| Survey Date: | 20060301 | Corrected By: | 20060420 |
|
5
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: | Pattern |
| Survey Date: | 20060301 | Corrected By: | 20060420 |
|
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: | 20060301 | Corrected By: | 20060420 |
|
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: | 20050106 | Corrected By: | 20050220 |
|
5
1...12
|
Nutrition and Diet: Make sure that the attending doctor orders special diets.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060616 | Corrected By: | 20060720 |
|
4
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060616 | Corrected By: | 20060720 |
|
4
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060616 | Corrected By: | 20060720 |
|
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: | 20060616 | Corrected By: | 20060720 |
|
4
1...12
|
Administration: Give or get lab tests to meet the needs of residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060301 | Corrected By: | 20060420 |
|
4
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060301 | Corrected By: | 20060420 |
|
4
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060301 | Corrected By: | 20060420 |
|
4
1...12
|
Environmental: Make sure there is a program to prevent/deal with mice, insects, or other pests.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060616 | Corrected By: | 20060720 |
|
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: | 20060301 | Corrected By: | 20060420 |
|
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: | 20050106 | Corrected By: | 20050220 |
|
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: | 20050106 | Corrected By: | 20050220 |
|
3
1...12
|
Administration: Hire a qualified social worker; or in homes with more than 120 beds, hire a qualified full-time social worker.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050106 | Corrected By: | 20050220 |
|
3
1...12
|
Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20060301 | Corrected By: | 20060420 |
|
2
1...12
|
Resident Rights: Have a private telephone available for use.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050106 | Corrected By: | 20050220 |
|
2
1...12
|
Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060301 | Corrected By: | 20060420 |
|
2
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060301 | Corrected By: | 20060420 |
|
2
1...12
|
Resident Rights: Keep each resident's personal and medical records private and confidential.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050106 | Corrected By: | 20050220 |
|