| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
14 % |
|
|
11/12/04 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
5 % |
|
|
11/12/04 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
36 % |
|
|
11/12/04 |
| Percent of Residents Who are More Depressed or Anxious |
17 % |
|
|
11/12/04 |
| Percent of Residents Who Have Moderate to Severe Pain |
4 % |
|
|
11/12/04 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
7 % |
|
|
11/12/04 |
| Percent of Residents Who Lose Too Much Weight |
7 % |
|
|
11/12/04 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
7 % |
|
|
11/12/04 |
| Percent of Residents Who Were Physically Restrained |
12 % |
|
|
11/12/04 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
17 % |
|
|
11/12/04 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
23 % |
|
|
11/12/04 |
| Percent of Residents With a Urinary Tract Infection |
7 % |
|
|
11/12/04 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
13 % |
|
|
11/12/04 |
| Percent of Short-Stay Residents With Delirium |
2 % |
|
|
11/12/04 |
| Percent of Short-Stay Residents With Pressure Sores |
35 % |
|
|
11/12/04 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Immediate jeopardy to resident health or safety |
01/28/05 |
| 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. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
06/19/03 |
| Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
06/19/03 |
| Administration Deficiencies |
Get services outside the nursing home that meet professional standards. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
06/19/03 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
05/13/04 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
06/19/03 |
| Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
06/19/03 |
| 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 |
06/19/03 |
| 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 |
06/19/03 |
| Administration Deficiencies |
1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/31/04 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/11/03 |
| Environmental Deficiencies |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/13/04 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/13/04 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/03/05 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/31/04 |
| 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 |
06/19/03 |
| 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 |
06/19/03 |
| Resident Assessment Deficiencies |
Do a new assessment after any major change in a resident's physical or mental health. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/31/04 |
| Resident Rights Deficiencies |
Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
09/17/03 |
| 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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/13/04 |
| 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. |
|
|
|
|
|
Pattern |
Potential for minimal harm |
04/18/03 |
| Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
|
|
|
No inspection results have been reported.