| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
19 % |
|
|
04/08/04 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
2 % |
|
|
04/08/04 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
42 % |
|
|
04/08/04 |
| Percent of Residents Who are More Depressed or Anxious |
9 % |
|
|
04/08/04 |
| Percent of Residents Who Have Moderate to Severe Pain |
14 % |
|
|
04/08/04 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
4 % |
|
|
04/08/04 |
| Percent of Residents Who Lose Too Much Weight |
13 % |
|
|
04/08/04 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
3 % |
|
|
04/08/04 |
| Percent of Residents Who Were Physically Restrained |
17 % |
|
|
04/08/04 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
10 % |
|
|
04/08/04 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
41 % |
|
|
04/08/04 |
| Percent of Residents With a Urinary Tract Infection |
11 % |
|
|
04/08/04 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
26 % |
|
|
04/08/04 |
| Percent of Short-Stay Residents With Delirium |
2 % |
|
|
04/08/04 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Actual harm |
12/12/02 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Actual harm |
01/07/04 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Actual harm |
01/07/04 |
| 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 |
Actual harm |
01/07/04 |
| 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 |
Actual harm |
12/12/02 |
| Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
|
|
|
|
|
Widespread |
Minimal harm or potential for actual harm |
01/07/04 |
| Resident Assessment Deficiencies |
Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/07/04 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/20/04 |
| Environmental Deficiencies |
Provide clean bed and bath linens that are in good condition. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/20/04 |
| Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/07/04 |
| Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/07/04 |
| 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 |
12/12/02 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/07/04 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/20/04 |
| 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 |
07/20/04 |
| Quality Care Deficiencies |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/07/04 |
| Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
12/12/02 |
| Resident Assessment Deficiencies |
Do an assessment of the resident every year. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
12/12/02 |
| 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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/07/04 |
| 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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/07/04 |
| Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
|
|
|
No inspection results have been reported.