| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
9 % |
|
|
06/22/05 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
2 % |
|
|
06/22/05 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
47 % |
|
|
06/22/05 |
| Percent of Residents Who are More Depressed or Anxious |
6 % |
|
|
06/22/05 |
| Percent of Residents Who Have Moderate to Severe Pain |
1 % |
|
|
06/22/05 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
8 % |
|
|
06/22/05 |
| Percent of Residents Who Lose Too Much Weight |
7 % |
|
|
06/22/05 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
12 % |
|
|
06/22/05 |
| Percent of Residents Who Were Physically Restrained |
1 % |
|
|
06/22/05 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
12 % |
|
|
06/22/05 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
20 % |
|
|
06/22/05 |
| Percent of Residents With a Urinary Tract Infection |
12 % |
|
|
06/22/05 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
0 % |
|
|
06/22/05 |
| Percent of Short-Stay Residents With Delirium |
0 % |
|
|
06/22/05 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Actual harm |
08/15/02 |
| Deficiencies Reported Between Inspections |
Comply with program requirements between annual inspections; although it corrected these problems before the most recent inspection. |
|
|
|
|
|
Widespread |
Minimal harm or potential for actual harm |
10/28/02 |
| Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
|
|
|
|
|
Widespread |
Minimal harm or potential for actual harm |
10/28/02 |
| Quality Care Deficiencies |
Use a registered nurse at least 8 hours a day, 7 days a week. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
10/28/02 |
| 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 |
10/28/02 |
| Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
10/28/02 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
08/28/03 |
| Resident Assessment Deficiencies |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/28/02 |
| Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
12/11/03 |
| 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 |
10/28/02 |
| 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 |
12/11/03 |
| 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 |
10/28/02 |
| 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 |
08/28/03 |
| Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/28/02 |
| Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
|
|
|
No inspection results have been reported.