| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
15 % |
|
|
08/08/05 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
78 % |
|
|
08/08/05 |
| Percent of Residents Who are More Depressed or Anxious |
38 % |
|
|
08/08/05 |
| Percent of Residents Who Have Moderate to Severe Pain |
6 % |
|
|
08/08/05 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
15 % |
|
|
08/08/05 |
| Percent of Residents Who Lose Too Much Weight |
6 % |
|
|
08/08/05 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
0 % |
|
|
08/08/05 |
| Percent of Residents Who Were Physically Restrained |
2 % |
|
|
08/08/05 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
11 % |
|
|
08/08/05 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
25 % |
|
|
08/08/05 |
| Percent of Residents With a Urinary Tract Infection |
7 % |
|
|
08/08/05 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
15 % |
|
|
08/08/05 |
| Percent of Short-Stay Residents With Delirium |
0 % |
|
|
08/08/05 |
| Percent of Short-Stay Residents With Pressure Sores |
19 % |
|
|
08/08/05 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Widespread |
Minimal harm or potential for actual harm |
04/29/03 |
| Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
04/29/03 |
| Quality Care Deficiencies |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/30/04 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/29/03 |
| Administration Deficiencies |
Quickly tell the resident's doctor the results of lab tests. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/11/02 |
| Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/21/03 |
| Mistreatment Deficiencies |
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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/29/03 |
| Pharmacy Service Deficiencies |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
06/05/03 |
| Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
06/27/03 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/29/03 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/30/04 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
06/27/03 |
| Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/18/05 |
| Quality Care Deficiencies |
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/20/02 |
| Quality Care Deficiencies |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/01/03 |
| Resident Rights Deficiencies |
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. |
|
|
|
|
|
Pattern |
Potential for minimal harm |
08/27/04 |
| Resident Rights Deficiencies |
Let the resident or the resident's representative look at all records. |
|
|
|
No inspection results have been reported.