| 4% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 3% | Percent of Short-Stay Residents With Delirium |
| 53% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 13% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 7% | Percent of Residents Who Have Moderate to Severe Pain |
| 4% | Percent of Residents With a Urinary Tract Infection |
| 8% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 10% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 13% | Percent of High-Risk Residents Who Have Pressure Sores |
| 12% | Percent of Short-Stay Residents With Pressure Sores |
| 13% | Percent of Residents Who Lose Too Much Weight |
| 6% | Percent of Residents Who Were Physically Restrained |
| 42% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 18% | Percent of Residents Who are More Depressed or Anxious |
10
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20051108 | Corrected By: | 20051230 |
|
7
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20051108 | Corrected By: | 20051230 |
|
6
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20051108 | Corrected By: | 20051230 |
|
5
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20041105 | Corrected By: | 20041210 |
|
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: | 20051108 | Corrected By: | 20051230 |
|
4
1...12
|
Quality Care: Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051108 | Corrected By: | 20051230 |
|
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: | 20051108 | Corrected By: | 20051230 |
|
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: | 20051108 | Corrected By: | 20051230 |
|
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: | 20051108 | Corrected By: | 20051230 |
|
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: | 20051108 | Corrected By: | 20051230 |
|
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: | 20041105 | Corrected By: | 20041210 |
|
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: | 20041105 | Corrected By: | 20041210 |
|
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: | 20040212 | Corrected By: | 20040312 |
|
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: | 20040212 | Corrected By: | 20040312 |
|
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: | 20040212 | Corrected By: | 20040312 |
|
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: | 20040212 | Corrected By: | 20040312 |
|
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: | 20041105 | Corrected By: | 20041210 |
|
4
1...12
|
Administration: Hire a qualified activities director.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041105 | Corrected By: | 20041210 |
|
4
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041105 | Corrected By: | 20041210 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040212 | Corrected By: | 20040312 |
|
2
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040212 | Corrected By: | 20040312 |
|