| 40% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 34% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 4% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 9% | Percent of Residents Who Were Physically Restrained |
| 8% | Percent of Short-Stay Residents With Pressure Sores |
| 50% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 18% | Percent of Residents With a Urinary Tract Infection |
| 6% | Percent of Residents Who Lose Too Much Weight |
| 1% | Percent of Short-Stay Residents With Delirium |
| 8% | Percent of High-Risk Residents Who Have Pressure Sores |
| 5% | Percent of Residents Who Have Moderate to Severe Pain |
| 26% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 3% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 9% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
7
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20030307 | Corrected By: | 20030423 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050914 | Corrected By: | 20051104 |
|
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: | 20040615 | Corrected By: | 20040816 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
5
1...12
|
Quality Care: Have enough nurses to care for every resident in a way that maximizes the resident's well being.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20030307 | Corrected By: | 20030423 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
4
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040615 | Corrected By: | 20040816 |
|
4
1...12
|
Resident Rights: Let residents give themselves their drugs if they are able.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20030307 | Corrected By: | 20030423 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
3
1...12
|
Nutrition and Diet: 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040615 | Corrected By: | 20040816 |
|
3
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20030307 | Corrected By: | 20030423 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
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: | 20030307 | Corrected By: | 20030423 |
|
2
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20050914 | Corrected By: | 20051104 |
|