| 2% | Percent of Residents Who Have Moderate to Severe Pain |
| 2% | Percent of Low-Risk Residents Who Have Pressure Sores |
| 5% | Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
| 0% | Percent of Short-Stay Residents With Delirium |
| 7% | Percent of High-Risk Residents Who Have Pressure Sores |
| 15% | Percent of Short-Stay Residents With Pressure Sores |
| 5% | Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
| 11% | Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
| 17% | Percent of Residents Whose Need for Help With Daily Activities Has Increased |
| 2% | Percent of Residents Who Lose Too Much Weight |
| 10% | Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
| 6% | Percent of Residents With a Urinary Tract Infection |
| 24% | Percent of Residents Who are More Depressed or Anxious |
| 72% | Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
| 4% | Percent of Residents Who Were Physically Restrained |
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: | 20050429 | Corrected By: | 20050628 |
|
6
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: | Widespread |
| Survey Date: | 20040409 | Corrected By: | 20040608 |
|
6
1...12
|
Administration: Set up or keep a group of people to review and ensure quality.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Widespread |
| Survey Date: | 20040409 | Corrected By: | 20040608 |
|
6
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: | Widespread |
| Survey Date: | 20060519 | Corrected By: | 20060609 |
|
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: | 20040409 | Corrected By: | 20040608 |
|
5
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: | Pattern |
| Survey Date: | 20060519 | Corrected By: | 20060609 |
|
5
1...12
|
Environmental: Provide needed housekeeping and maintenance.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20060519 | Corrected By: | 20060609 |
|
5
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: | Pattern |
| Survey Date: | 20060519 | Corrected By: | 20060609 |
|
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: | 20060519 | Corrected By: | 20060609 |
|
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: | 20060519 | Corrected By: | 20060609 |
|
5
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: | Pattern |
| Survey Date: | 20050429 | Corrected By: | 20050628 |
|
5
1...12
|
Resident Assessment: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Pattern |
| Survey Date: | 20040409 | Corrected By: | 20040608 |
|
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: | 20040409 | Corrected By: | 20040608 |
|
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: | 20060519 | Corrected By: | 20060609 |
|
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: | 20060519 | Corrected By: | 20060609 |
|
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: | 20060519 | Corrected By: | 20060609 |
|
4
1...12
|
Administration: Keep accurate and appropriate medical records.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050429 | Corrected By: | 20050628 |
|
4
1...12
|
Pharmacy Service: Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.
| Level of Harm: | Minimal harm or potential for actual harm | Scope: | Isolated |
| Survey Date: | 20050429 | Corrected By: | 20050628 |
|
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: | 20050429 | Corrected By: | 20050628 |
|
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: | 20050429 | Corrected By: | 20050628 |
|
3
1...12
|
Resident Rights: Provide proof that all residents' personal money which is deposited with the nursing home, is secure.
| Level of Harm: | Potential for minimal harm | Scope: | Widespread |
| Survey Date: | 20060519 | Corrected By: | 20060609 |
|
2
1...12
|
Resident Rights: Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States.
| Level of Harm: | Potential for minimal harm | Scope: | Pattern |
| Survey Date: | 20060519 | Corrected By: | 20060609 |
|