| 3% | Percent of Short-Stay Residents With Delirium |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 19% | Percent of Residents Who are More Depressed or Anxious |
| 24% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 14% | Percent of Residents Who Lose Too Much Weight |
| 16% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 7% | Percent of Residents Who Have Moderate to Severe Pain |
| 15% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 2% | Percent of Residents Who Were Physically Restrained |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 63% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 11% | Percent of Short-Stay Residents With Pressure Sores |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 4% | Percent of High-Risk Residents Who Have Pressure Sores |
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: | 20031107 | Corrected By: | 20040115 |
|
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: | 20031107 | Corrected By: | 20040115 |
|
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: | 20031107 | Corrected By: | 20040115 |
|
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: | 20041022 | Corrected By: | 20050103 |
|
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: | 20041022 | Corrected By: | 20050122 |
|
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: | 20051209 | Corrected By: | 20060127 |
|
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20041022 | Corrected By: | 20050103 |
|
5
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: | Pattern |
| Survey Date: | 20041022 | Corrected By: | 20050122 |
|
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: | 20051209 | Corrected By: | 20060127 |
|
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: | 20051209 | Corrected By: | 20060127 |
|
4
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041022 | Corrected By: | 20050103 |
|
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: | 20041022 | Corrected By: | 20050103 |
|
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: | 20051209 | Corrected By: | 20060127 |
|