| 0% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 0% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 0% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 7% | Percent of Residents With a Urinary Tract Infection |
| 5% | Percent of High-Risk Residents Who Have Pressure Sores |
| 8% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 6% | Percent of Residents Who Were Physically Restrained |
| 11% | Percent of Residents Who Lose Too Much Weight |
| 0% | Percent of Residents Who are More Depressed or Anxious |
| 0% | Percent of Residents Who Have Moderate to Severe Pain |
| 38% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 2% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 16% | Percent of Short-Stay Residents With Pressure Sores |
| 6% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 3% | Percent of Short-Stay Residents With Delirium |
7
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: | Isolated |
| Survey Date: | 20040930 | Corrected By: | 20041112 |
|
7
1...12
|
Environmental: Have a program to keep infection from spreading.
| Level of Harm: | Actual harm | Scope: | Isolated |
| Survey Date: | 20040930 | Corrected By: | 20041112 |
|
4
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: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20031212 | Corrected By: | 20040115 |
|
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: | 20050818 | Corrected By: | 20050930 |
|
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: | 20050818 | Corrected By: | 20050930 |
|
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: | 20050818 | Corrected By: | 20050930 |
|
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: | 20050818 | Corrected By: | 20050930 |
|
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: | 20050818 | Corrected By: | 20050930 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040930 | Corrected By: | 20041112 |
|
4
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: | Isolated |
| Survey Date: | 20050818 | Corrected By: | 20050930 |
|
4
1...12
|
Environmental: Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20040930 | Corrected By: | 20041112 |
|
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: | 20040930 | Corrected By: | 20041112 |
|
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: | 20040930 | Corrected By: | 20041112 |
|
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: | 20031212 | Corrected By: | 20040115 |
|
3
1...12
|
Environmental: Keep all essential equipment working safely.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20040930 | Corrected By: | 20041112 |
|
2
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: | Pattern |
| Survey Date: | 20031212 | Corrected By: | 20040115 |
|