| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 1% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 5% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 3% | Percent of Residents Who Lose Too Much Weight |
| 33% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 13% | Percent of High-Risk Residents Who Have Pressure Sores |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 4% | Percent of Residents Who Were Physically Restrained |
| 38% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 31% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 10% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 0% | Percent of Residents Who are More Depressed or Anxious |
| 14% | Percent of Short-Stay Residents With Pressure Sores |
| 0% | Percent of Residents Who Have Moderate to Severe Pain |
| 0% | Percent of Short-Stay Residents With Delirium |
7
1...12
|
Resident Rights: Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20060526 | Corrected By: | |
|
6
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: | Widespread |
| Survey Date: | 20060526 | Corrected By: | 20060710 |
|
5
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: | Pattern |
| Survey Date: | 20050310 | Corrected By: | 20050605 |
|
5
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: | Pattern |
| Survey Date: | 20050310 | Corrected By: | 20050605 |
|
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: | 20050310 | Corrected By: | 20050605 |
|
5
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: | Pattern |
| Survey Date: | 20050310 | Corrected By: | 20050605 |
|
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: | 20050310 | Corrected By: | 20050605 |
|
4
1...12
|
Pharmacy Service: Make sure that residents are safe from serious medication errors.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060526 | Corrected By: | 20060710 |
|
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: | 20060526 | Corrected By: | 20060710 |
|
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: | 20060526 | Corrected By: | 20060710 |
|
4
1...12
|
Environmental: Have enough outside airflow.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060526 | Corrected By: | 20060710 |
|
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: | 20060526 | Corrected By: | 20060710 |
|
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: | 20050310 | Corrected By: | 20050605 |
|
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: | 20060526 | Corrected By: | 20060710 |
|
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: | 20060526 | Corrected By: | 20060710 |
|
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: | 20050310 | Corrected By: | 20050605 |
|
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: | 20050310 | Corrected By: | 20050605 |
|
4
1...12
|
Nutrition and Diet: Provide food in a way that meets a resident's needs.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050310 | Corrected By: | 20050605 |
|
4
1...12
|
Environmental: Make sure that the nursing home area is free of dangers that cause accidents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050310 | Corrected By: | 20050605 |
|
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: | 20060526 | Corrected By: | 20060710 |
|
3
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20060526 | Corrected By: | 20060710 |
|
2
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050310 | Corrected By: | 20050605 |
|