| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
44 % |
|
|
04/15/05 |
| Percent of Residents Who are More Depressed or Anxious |
26 % |
|
|
04/15/05 |
| Percent of Residents Who Have Moderate to Severe Pain |
13 % |
|
|
04/15/05 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
6 % |
|
|
04/15/05 |
| Percent of Residents Who Lose Too Much Weight |
18 % |
|
|
04/15/05 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
0 % |
|
|
04/15/05 |
| Percent of Residents Who Were Physically Restrained |
16 % |
|
|
04/15/05 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
0 % |
|
|
04/15/05 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
26 % |
|
|
04/15/05 |
| Percent of Residents With a Urinary Tract Infection |
18 % |
|
|
04/15/05 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
27 % |
|
|
04/15/05 |
| Percent of Short-Stay Residents With Delirium |
0 % |
|
|
04/15/05 |
| Percent of Short-Stay Residents With Pressure Sores |
10 % |
|
|
04/15/05 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Actual harm |
01/24/03 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Widespread |
Minimal harm or potential for actual harm |
01/24/03 |
| Administration Deficiencies |
Train all employees on what to do in an emergency. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
01/24/03 |
| Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
01/24/03 |
| 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 |
01/24/03 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
11/10/04 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/10/05 |
| 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 |
02/17/04 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/16/02 |
| Quality Care Deficiencies |
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/16/02 |
| Quality Care Deficiencies |
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
01/24/03 |
| 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 |
03/24/04 |
| Resident Assessment Deficiencies |
Develop a plan with the resident and family for the resident's care after leaving the nursing home. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/02/04 |
| 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 |
01/24/03 |
| Administration Deficiencies |
Follow all laws and professional standards. |
|
|
|
|
|
Widespread |
Potential for minimal harm |
12/01/04 |
| Resident Rights Deficiencies |
Let the resident or the resident's representative look at all records. |
|
|
|
No inspection results have been reported.