| 10% | Percent of High-Risk Residents Who Have Pressure Sores |
| 1% | Percent of Short-Stay Residents With Delirium |
| 15% | Percent of Short-Stay Residents With Pressure Sores |
| 15% | Percent of Residents Who Were Physically Restrained |
| 14% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 49% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 7% | Percent of Residents Who Have Moderate to Severe Pain |
| 5% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 8% | Percent of Residents With a Urinary Tract Infection |
| 3% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 4% | Percent of Residents Who are More Depressed or Anxious |
| 9% | Percent of Residents Who Lose Too Much Weight |
| 9% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
5
1...12
|
Administration: Hire a qualified social worker; or in homes with more than 120 beds, hire a qualified full-time social worker.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060524 | Corrected By: | 20060621 |
|
5
1...12
|
Environmental: Make sure there is a program to prevent/deal with mice, insects, or other pests.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060524 | Corrected By: | 20060621 |
|
5
1...12
|
Resident Rights: Have a private telephone available for use.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060524 | Corrected By: | 20060621 |
|
5
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: | Pattern |
| Survey Date: | 20060524 | Corrected By: | 20060621 |
|
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: | 20060524 | Corrected By: | 20060621 |
|
4
1...12
|
Nutrition and Diet: Make sure that the attending doctor orders special diets.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060524 | Corrected By: | 20060621 |
|
4
1...12
|
Pharmacy Service: Act when the pharmacist reports something unusual.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040722 | Corrected By: | 20040908 |
|
4
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: | Isolated |
| Survey Date: | 20060524 | Corrected By: | 20060621 |
|
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: | 20050729 | Corrected By: | 20050730 |
|
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: | 20050729 | Corrected By: | 20050730 |
|
4
1...12
|
Environmental: Keep a resident apart from the others if the resident has an infection that can spread.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040722 | Corrected By: | 20040908 |
|
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: | 20060524 | Corrected By: | 20060621 |
|
2
1...12
|
Environmental: Make sure that the nursing home area is safe, easy to use, clean and comfortable.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060524 | Corrected By: | 20060621 |
|