| 4% | Percent of Residents Who Have Moderate to Severe Pain |
| 15% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 22% | Percent of Residents Who are More Depressed or Anxious |
| 61% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 4% | Percent of Short-Stay Residents With Delirium |
| 22% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 7% | Percent of Residents With a Urinary Tract Infection |
| 5% | Percent of Residents Who Were Physically Restrained |
| 15% | Percent of Short-Stay Residents With Pressure Sores |
| 11% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 3% | Percent of Residents Who Lose Too Much Weight |
| 14% | Percent of High-Risk Residents Who Have Pressure Sores |
| 3% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 4% | Percent of Low-Risk Residents Who Have Pressure Sores |
7
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20030819 | Corrected By: | 20031003 |
|
7
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20051110 | Corrected By: | 20051225 |
|
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: | 20051110 | Corrected By: | 20051225 |
|
5
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: | Pattern |
| Survey Date: | 20040928 | Corrected By: | 20041025 |
|
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: | 20040928 | Corrected By: | 20041021 |
|
5
1...12
|
Quality Care: Have enough nurses to care for every resident in a way that maximizes the resident's well being.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051110 | Corrected By: | 20051225 |
|
5
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: | Pattern |
| Survey Date: | 20030819 | Corrected By: | 20031125 |
|
5
1...12
|
Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051110 | Corrected By: | 20051225 |
|
5
1...12
|
Resident Rights: Let residents complain without being treated differently or badly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051110 | Corrected By: | 20051225 |
|
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: | 20051110 | Corrected By: | 20051225 |
|
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: | 20051110 | Corrected By: | 20051225 |
|
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: | 20051110 | Corrected By: | 20051225 |
|
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: | 20051110 | Corrected By: | 20051225 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040928 | Corrected By: | 20041025 |
|
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: | 20040928 | Corrected By: | 20041022 |
|
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: | 20030819 | Corrected By: | 20031003 |
|
4
1...12
|
Pharmacy Service: Use the services of a licensed pharmacist.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030819 | Corrected By: | 20031003 |
|
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: | 20030819 | Corrected By: | 20031003 |
|
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: | 20030819 | Corrected By: | 20031125 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051110 | Corrected By: | 20051225 |
|