| 11% | Percent of Residents With a Urinary Tract Infection |
| 11% | Percent of Residents Who are More Depressed or Anxious |
| 61% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 10% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 13% | Percent of Short-Stay Residents With Pressure Sores |
| 17% | Percent of High-Risk Residents Who Have Pressure Sores |
| 9% | Percent of Residents Who Lose Too Much Weight |
| 3% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 2% | Percent of Short-Stay Residents With Delirium |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 12% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 6% | Percent of Residents Who Were Physically Restrained |
| 2% | Percent of Residents Who Have Moderate to Severe Pain |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 12% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
5
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060216 | Corrected By: | 20060331 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060216 | Corrected By: | 20060331 |
|
5
1...12
|
Pharmacy Service: Use the services of a licensed pharmacist.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050110 | Corrected By: | 20050224 |
|
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: | 20050110 | Corrected By: | 20050224 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050110 | Corrected By: | 20050224 |
|
5
1...12
|
Nutrition and Diet: 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060216 | Corrected By: | 20060331 |
|
5
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060216 | Corrected By: | 20060331 |
|
4
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: | Isolated |
| Survey Date: | 20060216 | Corrected By: | 20060331 |
|
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: | 20060216 | Corrected By: | 20060331 |
|
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: | 20060216 | Corrected By: | 20060331 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050110 | Corrected By: | 20050224 |
|
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: | 20050110 | Corrected By: | 20050224 |
|
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: | 20050110 | Corrected By: | 20050224 |
|
4
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: | Isolated |
| Survey Date: | 20050110 | Corrected By: | 20050224 |
|
4
1...12
|
Resident Rights: Let residents give themselves their drugs if they are able.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050110 | Corrected By: | 20050224 |
|
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: | 20040217 | Corrected By: | 20040316 |
|
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: | 20040217 | Corrected By: | 20040316 |
|