| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
20 % |
|
|
08/16/04 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
3 % |
|
|
08/16/04 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
60 % |
|
|
08/16/04 |
| Percent of Residents Who are More Depressed or Anxious |
8 % |
|
|
08/16/04 |
| Percent of Residents Who Have Moderate to Severe Pain |
12 % |
|
|
08/16/04 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
5 % |
|
|
08/16/04 |
| Percent of Residents Who Lose Too Much Weight |
7 % |
|
|
08/16/04 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
3 % |
|
|
08/16/04 |
| Percent of Residents Who Were Physically Restrained |
5 % |
|
|
08/16/04 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
13 % |
|
|
08/16/04 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
17 % |
|
|
08/16/04 |
| Percent of Residents With a Urinary Tract Infection |
12 % |
|
|
08/16/04 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
35 % |
|
|
08/16/04 |
| Percent of Short-Stay Residents With Delirium |
5 % |
|
|
08/16/04 |
| Percent of Short-Stay Residents With Pressure Sores |
22 % |
|
|
08/16/04 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Actual harm |
02/26/04 |
| Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
11/19/03 |
| 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 |
02/26/04 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
11/19/03 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
01/15/04 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/26/04 |
| Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/26/04 |
| Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/26/04 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/26/04 |
| Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/26/04 |
| Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/26/04 |
| Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/27/03 |
| 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 |
06/26/03 |
| Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
06/26/03 |
| Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/27/03 |
| 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 |
08/27/03 |
| Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
11/19/03 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/27/03 |
| Quality Care Deficiencies |
Give the right treatment and services to residents who have mental or social problems adjusting. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/26/04 |
| Quality Care Deficiencies |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/26/04 |
| 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 |
11/19/03 |
| Resident Rights Deficiencies |
Try to resolve each resident's complaints quickly. |
|
|
|
|
|
Pattern |
Potential for minimal harm |
11/19/03 |
| Administration Deficiencies |
Follow all laws and professional standards. |
|
|
|
|
|
Pattern |
Potential for minimal harm |
11/19/03 |
| Administration Deficiencies |
Set up or keep a group of people to review and ensure quality. |
|
|
|
No inspection results have been reported.