| 4% | Percent of Residents Who Were Physically Restrained |
| 0% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 2% | Percent of Short-Stay Residents With Delirium |
| 3% | Percent of Residents Who Have Moderate to Severe Pain |
| 52% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 16% | Percent of Residents With a Urinary Tract Infection |
| 7% | Percent of Residents Who Lose Too Much Weight |
| 9% | Percent of Residents Who are More Depressed or Anxious |
| 10% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 9% | Percent of Short-Stay Residents With Pressure Sores |
| 2% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 25% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 5% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 13% | Percent of High-Risk Residents Who Have Pressure Sores |
6
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
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: | 20030116 | Corrected By: | 20030318 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
5
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: | Pattern |
| Survey Date: | 20040414 | Corrected By: | 20040716 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050713 | Corrected By: | 20050902 |
|
5
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: | Pattern |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
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: | 20040414 | Corrected By: | 20040716 |
|
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: | 20030116 | Corrected By: | 20030318 |
|
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: | 20050713 | Corrected By: | 20050902 |
|
4
1...12
|
Quality Care: Provide social services for related medical problems to help each resident achieve the highest possible quality of life.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050713 | Corrected By: | 20050902 |
|
3
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: | Widespread |
| Survey Date: | 20040414 | Corrected By: | 20040716 |
|
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: | 20050713 | Corrected By: | 20050902 |
|
2
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050713 | Corrected By: | 20050902 |
|
2
1...12
|
Resident Assessment: Check and update (if needed) each resident's assessment every 3 months.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040414 | Corrected By: | 20040716 |
|
2
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040414 | Corrected By: | 20040716 |
|
2
1...12
|
Mistreatment: Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20040414 | Corrected By: | 20040716 |
|
2
1...12
|
Resident Assessment: Check and update (if needed) each resident's assessment every 3 months.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
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: | 20030116 | Corrected By: | 20030318 |
|
2
1...12
|
Resident Assessment: Keep assessments completed in the preceding 15 months in the resident's active record.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
2
1...12
|
Resident Assessment: Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
2
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
2
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
2
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
2
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20030116 | Corrected By: | 20030318 |
|
2
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050713 | Corrected By: | 20050902 |
|