| 0% | Percent of Short-Stay Residents With Delirium |
| 3% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 7% | Percent of Residents With a Urinary Tract Infection |
| 73% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 12% | Percent of Residents Who Lose Too Much Weight |
| 8% | Percent of High-Risk Residents Who Have Pressure Sores |
| 5% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 0% | Percent of Short-Stay Residents With Pressure Sores |
| 1% | Percent of Residents Who are More Depressed or Anxious |
| 10% | Percent of Residents Who Were Physically Restrained |
| 2% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
| 6% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
10
1...12
|
Administration: Be administered in a way that leads to the highest possible level of well being for each resident.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20050331 | Corrected By: | 20050415 |
|
10
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: | Immediate jeopardy to resident health or safety | Scope: | Isolated |
| Survey Date: | 20050331 | Corrected By: | 20050430 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040211 | Corrected By: | 20040311 |
|
5
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: | Pattern |
| Survey Date: | 20060202 | Corrected By: | 20060302 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050331 | Corrected By: | 20050430 |
|
4
1...12
|
Administration: Follow all laws and professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050331 | Corrected By: | 20050415 |
|
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: | 20050331 | Corrected By: | 20050430 |
|
4
1...12
|
Resident Rights: Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060202 | Corrected By: | 20060302 |
|
4
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: | Isolated |
| Survey Date: | 20060202 | Corrected By: | 20060302 |
|
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: | 20060202 | Corrected By: | 20060302 |
|
4
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060202 | Corrected By: | 20060302 |
|
4
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: | Isolated |
| Survey Date: | 20060202 | Corrected By: | 20060302 |
|
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: | 20060202 | Corrected By: | 20060302 |
|
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: | 20060202 | Corrected By: | 20060302 |
|
4
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060202 | Corrected By: | 20060302 |
|
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: | 20060202 | Corrected By: | 20060302 |
|
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: | 20050331 | Corrected By: | 20050430 |
|
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: | 20040211 | Corrected By: | 20040311 |
|
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: | 20040211 | Corrected By: | 20040311 |
|
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: | 20040211 | Corrected By: | 20040311 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040211 | Corrected By: | 20040311 |
|
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: | 20050331 | Corrected By: | 20050430 |
|
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: | 20050331 | Corrected By: | 20050413 |
|
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: | 20050331 | Corrected By: | 20050414 |
|
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: | 20050331 | Corrected By: | 20050414 |
|
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: | 20050331 | Corrected By: | 20050430 |
|
3
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040211 | Corrected By: | 20040311 |
|
3
1...12
|
Resident Rights: Quickly give a resident's personal money to the heads of his or her estate after the resident's death.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040211 | Corrected By: | 20040308 |
|