| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
16 % |
|
|
05/27/05 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
3 % |
|
|
05/27/05 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
41 % |
|
|
05/27/05 |
| Percent of Residents Who are More Depressed or Anxious |
18 % |
|
|
05/27/05 |
| Percent of Residents Who Have Moderate to Severe Pain |
12 % |
|
|
05/27/05 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
10 % |
|
|
05/27/05 |
| Percent of Residents Who Lose Too Much Weight |
13 % |
|
|
05/27/05 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
10 % |
|
|
05/27/05 |
| Percent of Residents Who Were Physically Restrained |
8 % |
|
|
05/27/05 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
22 % |
|
|
05/27/05 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
45 % |
|
|
05/27/05 |
| Percent of Residents With a Urinary Tract Infection |
10 % |
|
|
05/27/05 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
15 % |
|
|
05/27/05 |
| Percent of Short-Stay Residents With Delirium |
2 % |
|
|
05/27/05 |
| Percent of Short-Stay Residents With Pressure Sores |
7 % |
|
|
05/27/05 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Pattern |
Immediate jeopardy to resident health or safety |
02/25/03 |
| 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. |
|
|
|
|
|
Pattern |
Immediate jeopardy to resident health or safety |
02/25/03 |
| Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
|
|
|
|
|
Pattern |
Immediate jeopardy to resident health or safety |
02/25/03 |
| Administration Deficiencies |
Follow all laws and professional standards. |
|
|
|
|
|
Pattern |
Immediate jeopardy to resident health or safety |
02/25/03 |
| 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. |
|
|
|
|
|
Pattern |
Immediate jeopardy to resident health or safety |
02/25/03 |
| Mistreatment Deficiencies |
Protect each resident from all abuse, physical punishment, and being separated from others. |
|
|
|
|
|
Pattern |
Immediate jeopardy to resident health or safety |
02/25/03 |
| 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 |
05/25/04 |
| 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 |
04/25/03 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/25/04 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/19/05 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
11/04/02 |
| 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 |
04/25/03 |
| 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 |
11/04/02 |
| 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 |
04/25/03 |
| 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 |
04/25/03 |
| 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 |
04/25/03 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
11/04/02 |
| 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 |
11/04/02 |
| Quality Care Deficiencies |
Make sure that each resident gets help to keep vision and hearing. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/25/03 |
| 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 |
04/08/04 |
| 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. |
|
|
|
|
|
Widespread |
Potential for minimal harm |
04/25/03 |
| Resident Assessment Deficiencies |
Keep assessments completed in the preceding 15 months in the resident's active record. |
|
|
|
No inspection results have been reported.