| 0% | Percent of High-Risk Residents Who Have Pressure Sores |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 23% | Percent of Short-Stay Residents With Pressure Sores |
| 2% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 0% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Residents Who Were Physically Restrained |
| 19% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 50% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 11% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 2% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 7% | Percent of Short-Stay Residents With Delirium |
| 13% | Percent of Residents Who are More Depressed or Anxious |
| 24% | Percent of Residents Who Lose Too Much Weight |
5
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20031105 | Corrected By: | 20031219 |
|
5
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: | Pattern |
| Survey Date: | 20041029 | Corrected By: | 20041119 |
|
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: | 20031105 | Corrected By: | 20031211 |
|
4
1...12
|
Quality Care: Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20051013 | Corrected By: | 20051103 |
|
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: | 20051013 | Corrected By: | 20051102 |
|
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: | 20051013 | Corrected By: | 20051013 |
|
4
1...12
|
Pharmacy Service: Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041029 | Corrected By: | 20041231 |
|
2
1...12
|
Environmental: Put firmly secured handrails on each side of hallways.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20031105 | Corrected By: | 20040131 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20031105 | Corrected By: | 20031211 |
|
2
1...12
|
Environmental: Have enough outside airflow.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20041029 | Corrected By: | 20041105 |
|