| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
20 % |
|
|
09/09/04 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
90 % |
|
|
09/09/04 |
| Percent of Residents Who are More Depressed or Anxious |
24 % |
|
|
09/09/04 |
| Percent of Residents Who Have Moderate to Severe Pain |
10 % |
|
|
09/09/04 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
7 % |
|
|
09/09/04 |
| Percent of Residents Who Lose Too Much Weight |
28 % |
|
|
09/09/04 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
0 % |
|
|
09/09/04 |
| Percent of Residents Who Were Physically Restrained |
0 % |
|
|
09/09/04 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
12 % |
|
|
09/09/04 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
17 % |
|
|
09/09/04 |
| Percent of Residents With a Urinary Tract Infection |
8 % |
|
|
09/09/04 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
35 % |
|
|
09/09/04 |
| Percent of Short-Stay Residents With Delirium |
0 % |
|
|
09/09/04 |
| Percent of Short-Stay Residents With Pressure Sores |
2 % |
|
|
09/09/04 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Pattern |
Actual harm |
10/09/02 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Pattern |
Actual harm |
10/09/02 |
| Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
|
|
|
|
|
Widespread |
Minimal harm or potential for actual harm |
10/09/02 |
| Administration Deficiencies |
Train all employees on what to do in an emergency. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
10/09/02 |
| Administration Deficiencies |
Choose a doctor to be the medical director. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
10/09/02 |
| Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
06/29/05 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/21/04 |
| 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 |
10/09/02 |
| Resident Assessment Deficiencies |
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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
06/22/04 |
| Resident Assessment Deficiencies |
Develop a plan with the resident and family for the resident's care after leaving the nursing home. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/09/02 |
| Resident Assessment Deficiencies |
Make sure that all needed doctor visits are made personally by a doctor, as required. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/09/02 |
| Resident Assessment Deficiencies |
Make sure that doctors visit residents regularly, as required. |
|
|
|
|
|
Pattern |
Potential for minimal harm |
10/09/02 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Pattern |
Potential for minimal harm |
10/21/04 |
| Resident Rights Deficiencies |
Listen to the resident or family groups or act on their complaints or suggestions. |
|
|
|
No inspection results have been reported.