| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 3% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
| 9% | Percent of Residents Who are More Depressed or Anxious |
| 9% | Percent of High-Risk Residents Who Have Pressure Sores |
| 4% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 4% | Percent of Short-Stay Residents With Delirium |
| 9% | Percent of Residents Who Lose Too Much Weight |
| 18% | Percent of Short-Stay Residents With Pressure Sores |
| 12% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 53% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 7% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 6% | Percent of Residents Who Were Physically Restrained |
| 26% | Percent of Residents With a Urinary Tract Infection |
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: | 20031106 | Corrected By: | 20031206 |
|
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: | 20051025 | Corrected By: | 20051125 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20051025 | Corrected By: | 20051125 |
|
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: | 20031106 | Corrected By: | 20031206 |
|
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: | 20051025 | Corrected By: | 20051125 |
|
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: | 20051025 | Corrected By: | 20051125 |
|
4
1...12
|
Quality Care: Give each resident enough fluids to keep them healthy and prevent dehydration.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051025 | Corrected By: | 20051125 |
|
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: | 20051025 | Corrected By: | 20051125 |
|
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: | 20051025 | Corrected By: | 20051125 |
|
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: | 20051025 | Corrected By: | 20051125 |
|
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: | 20051025 | Corrected By: | 20051125 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031106 | Corrected By: | 20031206 |
|
4
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031106 | Corrected By: | 20031206 |
|
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: | 20051025 | Corrected By: | 20051125 |
|