| 0% | Percent of High-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 3% | Percent of Residents Who Have Moderate to Severe Pain |
| 9% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 3% | Percent of Short-Stay Residents With Pressure Sores |
| 5% | Percent of Residents Who are More Depressed or Anxious |
| 5% | Percent of Residents Who Lose Too Much Weight |
| 27% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 13% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 5% | Percent of Residents With a Urinary Tract Infection |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 2% | 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 |
| 49% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
5
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: | Pattern |
| Survey Date: | 20030724 | Corrected By: | 20030822 |
|
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: | 20060720 | Corrected By: | 20060830 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060720 | Corrected By: | 20060830 |
|
5
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: | Pattern |
| Survey Date: | 20041008 | Corrected By: | 20041109 |
|
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: | 20041008 | Corrected By: | 20041109 |
|
5
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20041008 | Corrected By: | 20041109 |
|
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: | 20060720 | Corrected By: | 20060830 |
|
4
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060720 | Corrected By: | 20060830 |
|
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: | 20060720 | Corrected By: | 20060830 |
|
4
1...12
|
Environmental: Keep adequate and comfortable lighting in all areas.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060720 | Corrected By: | 20060830 |
|
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: | 20030724 | Corrected By: | 20030822 |
|
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: | 20041008 | Corrected By: | 20041109 |
|
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: | 20030724 | Corrected By: | 20030822 |
|
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: | 20041008 | Corrected By: | 20041109 |
|
4
1...12
|
Resident Rights: Keep each resident's personal and medical records private and confidential.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041008 | Corrected By: | 20041109 |
|
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: | 20041008 | Corrected By: | 20041109 |
|
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: | 20041008 | Corrected By: | 20041109 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20041008 | Corrected By: | 20041109 |
|
3
1...12
|
Environmental: Keep safe, clean and homelike surroundings.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030724 | Corrected By: | 20030822 |
|
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: | 20041008 | Corrected By: | 20041109 |
|