| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
14 % |
|
|
01/28/05 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
3 % |
|
|
01/28/05 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
63 % |
|
|
01/28/05 |
| Percent of Residents Who are More Depressed or Anxious |
22 % |
|
|
01/28/05 |
| Percent of Residents Who Have Moderate to Severe Pain |
5 % |
|
|
01/28/05 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
11 % |
|
|
01/28/05 |
| Percent of Residents Who Lose Too Much Weight |
8 % |
|
|
01/28/05 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
4 % |
|
|
01/28/05 |
| Percent of Residents Who Were Physically Restrained |
7 % |
|
|
01/28/05 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
14 % |
|
|
01/28/05 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
24 % |
|
|
01/28/05 |
| Percent of Residents With a Urinary Tract Infection |
9 % |
|
|
01/28/05 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
20 % |
|
|
01/28/05 |
| Percent of Short-Stay Residents With Delirium |
1 % |
|
|
01/28/05 |
| Percent of Short-Stay Residents With Pressure Sores |
19 % |
|
|
01/28/05 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Actual harm |
12/23/03 |
| Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
|
|
|
|
|
Isolated |
Actual harm |
04/28/05 |
| Mistreatment Deficiencies |
Protect each resident from all abuse, physical punishment, and being separated from others. |
|
|
|
|
|
Isolated |
Actual harm |
12/23/03 |
| Pharmacy Service Deficiencies |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
|
|
|
|
|
Isolated |
Actual harm |
02/06/03 |
| Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
|
|
|
|
|
Isolated |
Actual harm |
03/18/03 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Actual harm |
04/28/05 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Widespread |
Minimal harm or potential for actual harm |
03/10/03 |
| Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/20/03 |
| Administration Deficiencies |
Give or get x-rays and other tests to meet the needs of residents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
12/23/03 |
| Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/30/04 |
| 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 |
12/23/03 |
| Mistreatment Deficiencies |
Protect each resident from all abuse, physical punishment, and being separated from others. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/27/04 |
| 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 |
04/30/04 |
| 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 |
04/30/04 |
| 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 |
Minimal harm or potential for actual harm |
02/27/04 |
| 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 |
02/06/03 |
| 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 |
08/20/03 |
| 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. |
|
|
|
|
|
Pattern |
Potential for minimal harm |
02/27/04 |
| 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. |
|
|
|
No inspection results have been reported.