| 13% | Percent of Residents Who Have Moderate to Severe Pain |
| 7% | Percent of Short-Stay Residents With Delirium |
| 14% | Percent of High-Risk Residents Who Have Pressure Sores |
| 16% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 6% | Percent of Residents Who Lose Too Much Weight |
| 34% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 17% | Percent of Residents Who are More Depressed or Anxious |
| 73% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 7% | Percent of Residents Who Were Physically Restrained |
| 12% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 11% | Percent of Residents With a Urinary Tract Infection |
| 11% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 12% | Percent of Short-Stay Residents With Pressure Sores |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 20% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
11
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Pattern |
| Survey Date: | 20040304 | Corrected By: | 20040325 |
|
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: | 20050414 | Corrected By: | 20050506 |
|
6
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20050414 | Corrected By: | 20050506 |
|
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: | 20030130 | Corrected By: | 20030320 |
|
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: | 20040304 | Corrected By: | 20040325 |
|
4
1...12
|
Pharmacy Service: Make sure that residents who have not taken antipsychotic drugs are not given these drugs, unless they are used to treat a problem that is diagnosed and noted in the medical record.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050414 | Corrected By: | 20050506 |
|
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: | 20050414 | Corrected By: | 20050506 |
|
4
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050414 | Corrected By: | 20050506 |
|
4
1...12
|
Administration: Get services outside the nursing home that meet professional standards.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040304 | Corrected By: | 20040325 |
|
4
1...12
|
Pharmacy Service: Keep drugs and other similar products locked safely and properly stored.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040304 | Corrected By: | 20040325 |
|
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: | 20040304 | Corrected By: | 20040325 |
|
4
1...12
|
Nutrition and Diet: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040304 | Corrected By: | 20040325 |
|
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: | 20030130 | Corrected By: | 20030320 |
|
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: | 20040304 | Corrected By: | 20040325 |
|
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: | 20040304 | Corrected By: | 20040325 |
|
4
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040304 | Corrected By: | 20040325 |
|
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: | 20040304 | Corrected By: | 20040325 |
|
4
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: | Isolated |
| Survey Date: | 20040304 | Corrected By: | 20040325 |
|
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: | 20030130 | Corrected By: | 20030320 |
|