| 4% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 1% | Percent of Residents Who Were Physically Restrained |
| 12% | Percent of Residents With a Urinary Tract Infection |
| 3% | Percent of Residents Who are More Depressed or Anxious |
| 7% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 2% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 38% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 16% | Percent of Residents Who Have Moderate to Severe Pain |
| 24% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 2% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 0% | Percent of Short-Stay Residents With Delirium |
| 25% | Percent of Short-Stay Residents With Pressure Sores |
| 4% | Percent of Residents Who Lose Too Much Weight |
| 6% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 10% | Percent of High-Risk Residents Who Have Pressure Sores |
5
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: | Pattern |
| Survey Date: | 20060210 | Corrected By: | 20060317 |
|
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: | 20050407 | Corrected By: | 20050507 |
|
5
1...12
|
Environmental: Keep sound levels comfortable.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060210 | Corrected By: | 20060317 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
5
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: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060210 | Corrected By: | 20060317 |
|
5
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060210 | Corrected By: | 20060317 |
|
5
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: | Pattern |
| Survey Date: | 20040319 | Corrected By: | 20040503 |
|
4
1...12
|
Quality Care: Make sure that each resident's nutritional needs were met.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060210 | Corrected By: | 20060317 |
|
4
1...12
|
Quality Care: Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060210 | Corrected By: | 20060317 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
4
1...12
|
Mistreatment: Keep each resident free from physical restraints, unless needed for medical treatment.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20060210 | Corrected By: | 20060317 |
|
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: | 20050407 | Corrected By: | 20050507 |
|
4
1...12
|
Quality Care: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050407 | Corrected By: | 20050507 |
|
4
1...12
|
Pharmacy Service: Provide drugs and related services needed by each resident.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050407 | Corrected By: | 20050507 |
|
4
1...12
|
Administration: Make sure that nurse aides show they have the skills to be able to care for residents.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050407 | Corrected By: | 20050507 |
|
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: | 20050407 | Corrected By: | 20050507 |
|
3
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: | Widespread |
| Survey Date: | 20050407 | Corrected By: | 20050507 |
|
3
1...12
|
Resident Rights: Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050407 | Corrected By: | 20050507 |
|
3
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040319 | Corrected By: | 20040503 |
|
3
1...12
|
Environmental: Get rid of garbage properly.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040319 | Corrected By: | 20040503 |
|
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: | 20040319 | Corrected By: | 20040503 |
|
3
1...12
|
Administration: Follow all laws and professional standards.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20050407 | Corrected By: | 20050507 |
|
3
1...12
|
Resident Rights: Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040319 | Corrected By: | 20040503 |
|
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: | 20040319 | Corrected By: | 20040503 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
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: | 20060210 | Corrected By: | 20060317 |
|
2
1...12
|
Resident Rights: Try to resolve each resident's complaints quickly.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060210 | Corrected By: | 20060317 |
|
2
1...12
|
Resident Rights: Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060210 | Corrected By: | 20060317 |
|