| 12% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 14% | Percent of High-Risk Residents Who Have Pressure Sores |
| 1% | Percent of Residents Who Were Physically Restrained |
| 18% | Percent of Residents Who are More Depressed or Anxious |
| 3% | Percent of Short-Stay Residents With Delirium |
| 26% | Percent of Short-Stay Residents With Pressure Sores |
| 1% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 0% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 19% | Percent of Residents Who Have Moderate to Severe Pain |
| 6% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 10% | Percent of Residents With a Urinary Tract Infection |
| 23% | Percent of Residents Who Lose Too Much Weight |
| 32% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 17% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 58% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
11
1...12
|
Pharmacy Service: Make sure that residents are safe from serious medication errors.
| Level of Harm: | Immediate jeopardy to resident health or safety | Scope: | Pattern |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
8
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Actual harm | Scope: | Pattern |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
8
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: | Actual harm | Scope: | Pattern |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
8
1...12
|
Quality Care: Give each resident care and services to get or keep the highest quality of life possible.
| Level of Harm: | Actual harm | Scope: | Pattern |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
8
1...12
|
Quality Care: Provide activities to meet the needs of each resident.
| Level of Harm: | Actual harm | Scope: | Pattern |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
7
1...12
|
Mistreatment: Protect residents from mistreatment, neglect, and/or theft of personal property.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
7
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: | Actual harm | Scope: | Isolated |
| Survey Date: | 20060404 | Corrected By: | 20060616 |
|
7
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
6
1...12
|
Nutrition and Diet: Hire enough skilled workers to carry out dietary service.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
6
1...12
|
Resident Assessment: Make a complete assessment that covers all questions for areas that are listed in official regulations.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
5
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
5
1...12
|
Environmental: Make sure that staff members wash their hands when needed.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20050107 | Corrected By: | 20050218 |
|
5
1...12
|
Pharmacy Service: Properly mark drugs and other similar products.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
5
1...12
|
Pharmacy Service: Act when the pharmacist reports something unusual.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
5
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: | Pattern |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
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: | 20040316 | Corrected By: | 20040506 |
|
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: | 20060404 | Corrected By: | 20060616 |
|
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: | 20050107 | Corrected By: | 20050218 |
|
4
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: | Isolated |
| Survey Date: | 20050107 | Corrected By: | 20050218 |
|
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: | 20050107 | Corrected By: | 20050218 |
|
4
1...12
|
Quality Care: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050107 | Corrected By: | 20050218 |
|
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: | 20040316 | Corrected By: | 20040506 |
|
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: | 20040316 | Corrected By: | 20040506 |
|
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: | 20040316 | Corrected By: | 20040506 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040316 | Corrected By: | 20040506 |
|
4
1...12
|
Environmental: Make sure that staff members wash their hands when needed.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060404 | Corrected By: | 20060616 |
|