| 5% | Percent of Residents Who are More Depressed or Anxious |
| 7% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 13% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 8% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 49% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 29% | Percent of Short-Stay Residents With Pressure Sores |
| 15% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 0% | Percent of Residents Who Were Physically Restrained |
| 0% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 0% | Percent of Short-Stay Residents With Delirium |
| 13% | Percent of Residents Who Lose Too Much Weight |
| 10% | Percent of Residents With a Urinary Tract Infection |
| 1% | Percent of Residents Who Have Moderate to Severe Pain |
6
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20030925 | Corrected By: | 20031107 |
|
6
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: | Widespread |
| Survey Date: | 20030925 | Corrected By: | 20031107 |
|
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: | 20060420 | Corrected By: | 20060604 |
|
5
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060420 | Corrected By: | 20060604 |
|
5
1...12
|
Nutrition and Diet: Make sure that residents are well nourished.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030925 | Corrected By: | 20031107 |
|
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: | 20060420 | Corrected By: | 20060604 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041007 | Corrected By: | 20041119 |
|
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: | 20041007 | Corrected By: | 20041119 |
|
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: | 20060420 | Corrected By: | 20060604 |
|
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: | 20041007 | Corrected By: | 20041119 |
|
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: | 20041007 | Corrected By: | 20041119 |
|
4
1...12
|
Administration: Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030925 | Corrected By: | 20031107 |
|
4
1...12
|
Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030925 | Corrected By: | 20031107 |
|
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: | 20041007 | Corrected By: | 20041119 |
|
3
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20060420 | Corrected By: | 20060604 |
|
2
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: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060420 | Corrected By: | 20060604 |
|
2
1...12
|
Resident Rights: Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030925 | Corrected By: | 20031107 |
|