| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
9 % |
|
|
06/24/05 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
3 % |
|
|
06/24/05 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
48 % |
|
|
06/24/05 |
| Percent of Residents Who are More Depressed or Anxious |
15 % |
|
|
06/24/05 |
| Percent of Residents Who Have Moderate to Severe Pain |
10 % |
|
|
06/24/05 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
7 % |
|
|
06/24/05 |
| Percent of Residents Who Lose Too Much Weight |
5 % |
|
|
06/24/05 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
2 % |
|
|
06/24/05 |
| Percent of Residents Who Were Physically Restrained |
4 % |
|
|
06/24/05 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
13 % |
|
|
06/24/05 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
10 % |
|
|
06/24/05 |
| Percent of Residents With a Urinary Tract Infection |
15 % |
|
|
06/24/05 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
17 % |
|
|
06/24/05 |
| Percent of Short-Stay Residents With Delirium |
0 % |
|
|
06/24/05 |
| Percent of Short-Stay Residents With Pressure Sores |
22 % |
|
|
06/24/05 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Immediate jeopardy to resident health or safety |
08/04/03 |
| Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
|
|
|
|
|
Isolated |
Immediate jeopardy to resident health or safety |
08/04/03 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Pattern |
Actual harm |
08/04/03 |
| Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
|
|
|
|
|
Pattern |
Actual harm |
08/04/03 |
| Administration Deficiencies |
Choose a doctor to be the medical director. |
|
|
|
|
|
Pattern |
Actual harm |
08/04/03 |
| Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
|
|
|
|
|
Pattern |
Actual harm |
08/04/03 |
| Resident Assessment Deficiencies |
Make sure that doctors visit residents regularly, as required. |
|
|
|
|
|
Isolated |
Actual harm |
06/16/04 |
| Deficiencies Reported Between Inspections |
Comply with program requirements between annual inspections; although it corrected these problems before the most recent inspection. |
|
|
|
|
|
Isolated |
Actual harm |
06/16/04 |
| Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
|
|
|
|
|
Isolated |
Actual harm |
08/04/03 |
| Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
|
|
|
|
|
Isolated |
Actual harm |
06/16/04 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Actual harm |
08/04/03 |
| 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. |
|
|
|
|
|
Widespread |
Minimal harm or potential for actual harm |
08/04/03 |
| Administration Deficiencies |
Set up or keep a group of people to review and ensure quality. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
03/06/03 |
| 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 |
Minimal harm or potential for actual harm |
03/06/03 |
| 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 |
08/04/03 |
| 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 |
08/04/03 |
| 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 |
08/04/03 |
| Resident Rights Deficiencies |
Tell the resident completely about his or her health status. |
|
|
|
No inspection results have been reported.