| 17% | Percent of Short-Stay Residents With Pressure Sores |
| 14% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 10% | Percent of High-Risk Residents Who Have Pressure Sores |
| 3% | Percent of Residents Who Have Moderate to Severe Pain |
| 2% | Percent of Residents Who Lose Too Much Weight |
| 20% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 13% | Percent of Residents Who Were Physically Restrained |
| 7% | Percent of Short-Stay Residents With Delirium |
| 9% | Percent of Residents Who are More Depressed or Anxious |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 9% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 5% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 11% | Percent of Residents With a Urinary Tract Infection |
| 64% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
7
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20050630 | Corrected By: | 20050809 |
|
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: | 20050630 | Corrected By: | 20050801 |
|
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: | 20050630 | Corrected By: | 20050809 |
|
5
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040520 | Corrected By: | 20040726 |
|
5
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: | Pattern |
| Survey Date: | 20040520 | Corrected By: | 20040726 |
|
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: | 20040520 | Corrected By: | 20040726 |
|
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: | 20050630 | Corrected By: | 20050809 |
|
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: | 20050630 | Corrected By: | 20050809 |
|
4
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050630 | Corrected By: | 20050801 |
|
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: | 20050630 | Corrected By: | 20050809 |
|
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: | 20040520 | Corrected By: | 20040726 |
|
4
1...12
|
Administration: Give lab tests only when the attending doctor ordered them.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050630 | Corrected By: | 20050809 |
|
4
1...12
|
Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040520 | Corrected By: | 20040726 |
|
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: | 20050630 | Corrected By: | 20050809 |
|
3
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040520 | Corrected By: | 20040726 |
|
2
1...12
|
Resident Rights: Keep each resident's personal and medical records private and confidential.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050630 | Corrected By: | 20050809 |
|
2
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050630 | Corrected By: | 20050809 |
|