| 27% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Short-Stay Residents With Delirium |
| 7% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 6% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 12% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 9% | Percent of Residents With a Urinary Tract Infection |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 9% | Percent of Residents Who Were Physically Restrained |
| 21% | Percent of High-Risk Residents Who Have Pressure Sores |
| 52% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 18% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 13% | Percent of Residents Who Lose Too Much Weight |
| 2% | Percent of Residents Who Have Moderate to Severe Pain |
| 21% | Percent of Short-Stay Residents With Pressure Sores |
| 20% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
5
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: | Pattern |
| Survey Date: | 20031027 | Corrected By: | 20031217 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20031027 | Corrected By: | 20031217 |
|
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: | 20031027 | Corrected By: | 20031217 |
|
4
1...12
|
Environmental: Make sure that a working call system is available in each resident's room or bathroom and bathing area.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060127 | Corrected By: | 20060313 |
|
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: | 20060127 | Corrected By: | 20060313 |
|
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: | 20060127 | Corrected By: | 20060313 |
|
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: | 20060127 | Corrected By: | 20060313 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041220 | Corrected By: | 20050228 |
|
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: | 20041220 | Corrected By: | 20050228 |
|
4
1...12
|
Pharmacy Service: Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041220 | Corrected By: | 20050228 |
|
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: | 20041220 | Corrected By: | 20050228 |
|
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: | 20031027 | Corrected By: | 20031217 |
|
4
1...12
|
Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031027 | Corrected By: | 20031217 |
|
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: | 20031027 | Corrected By: | 20031217 |
|
4
1...12
|
Resident Assessment: Do a new assessment after any major change in a resident's physical or mental health.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031027 | Corrected By: | 20031217 |
|
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: | 20060127 | Corrected By: | 20060313 |
|
2
1...12
|
Administration: Give lab tests only when the attending doctor ordered them.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20041220 | Corrected By: | 20050228 |
|
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: | 20031027 | Corrected By: | 20031217 |
|