| 0% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 14% | Percent of Short-Stay Residents With Pressure Sores |
| 17% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 0% | Percent of Residents Who Were Physically Restrained |
| 0% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Residents With a Urinary Tract Infection |
| 6% | Percent of Short-Stay Residents With Delirium |
5
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060511 | Corrected By: | 20060623 |
|
5
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050421 | Corrected By: | 20050605 |
|
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: | 20050421 | Corrected By: | 20050605 |
|
5
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: | Pattern |
| Survey Date: | 20040219 | Corrected By: | 20040325 |
|
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: | 20040219 | Corrected By: | 20040315 |
|
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: | 20050421 | Corrected By: | 20050605 |
|
4
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060511 | Corrected By: | 20060623 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050421 | Corrected By: | 20050605 |
|
4
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: | Isolated |
| Survey Date: | 20050421 | Corrected By: | 20050605 |
|
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: | 20050421 | Corrected By: | 20050605 |
|
4
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050421 | Corrected By: | 20050605 |
|
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: | 20050421 | Corrected By: | 20050605 |
|
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: | 20050421 | Corrected By: | 20050605 |
|
4
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: | Isolated |
| Survey Date: | 20050421 | Corrected By: | 20050605 |
|
4
1...12
|
Resident Assessment: Do a new assessment after any major change in a resident's physical or mental health.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050421 | Corrected By: | 20050605 |
|
4
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050421 | Corrected By: | 20050605 |
|
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: | 20050421 | Corrected By: | 20050605 |
|
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: | 20050421 | Corrected By: | 20050605 |
|
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: | 20050421 | Corrected By: | 20050605 |
|
4
1...12
|
Resident Rights: Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040219 | Corrected By: | 20040315 |
|