| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
17 % |
|
|
03/04/05 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
3 % |
|
|
03/04/05 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
41 % |
|
|
03/04/05 |
| Percent of Residents Who are More Depressed or Anxious |
14 % |
|
|
03/04/05 |
| Percent of Residents Who Have Moderate to Severe Pain |
7 % |
|
|
03/04/05 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
1 % |
|
|
03/04/05 |
| Percent of Residents Who Lose Too Much Weight |
8 % |
|
|
03/04/05 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
5 % |
|
|
03/04/05 |
| Percent of Residents Who Were Physically Restrained |
0 % |
|
|
03/04/05 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
29 % |
|
|
03/04/05 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
25 % |
|
|
03/04/05 |
| Percent of Residents With a Urinary Tract Infection |
3 % |
|
|
03/04/05 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
22 % |
|
|
03/04/05 |
| Percent of Short-Stay Residents With Delirium |
4 % |
|
|
03/04/05 |
| Percent of Short-Stay Residents With Pressure Sores |
22 % |
|
|
03/04/05 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Pattern |
Immediate jeopardy to resident health or safety |
11/12/03 |
| Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
|
|
|
|
|
Isolated |
Actual harm |
11/12/03 |
| 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 |
Actual harm |
11/12/03 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Actual harm |
07/18/05 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Actual harm |
11/12/03 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Actual harm |
08/15/05 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
11/12/03 |
| 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 |
07/18/05 |
| 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 |
08/15/05 |
| 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 |
11/12/03 |
| Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
08/15/05 |
| Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
11/12/03 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
08/15/05 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
11/12/03 |
| 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 |
11/12/03 |
| Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/03/03 |
| 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 |
11/12/03 |
| 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 |
07/18/05 |
| 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 |
01/21/05 |
| 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 |
07/18/05 |
| 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. |
|
|
|
No inspection results have been reported.