| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
12 % |
|
|
12/09/04 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
0 % |
|
|
12/09/04 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
38 % |
|
|
12/09/04 |
| Percent of Residents Who are More Depressed or Anxious |
36 % |
|
|
12/09/04 |
| Percent of Residents Who Have Moderate to Severe Pain |
8 % |
|
|
12/09/04 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
13 % |
|
|
12/09/04 |
| Percent of Residents Who Lose Too Much Weight |
10 % |
|
|
12/09/04 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
3 % |
|
|
12/09/04 |
| Percent of Residents Who Were Physically Restrained |
10 % |
|
|
12/09/04 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
5 % |
|
|
12/09/04 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
5 % |
|
|
12/09/04 |
| Percent of Residents With a Urinary Tract Infection |
15 % |
|
|
12/09/04 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
24 % |
|
|
12/09/04 |
| Percent of Short-Stay Residents With Delirium |
5 % |
|
|
12/09/04 |
| Percent of Short-Stay Residents With Pressure Sores |
23 % |
|
|
12/09/04 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Immediate jeopardy to resident health or safety |
09/02/04 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Actual harm |
11/26/03 |
| Deficiencies Reported Between Inspections |
Comply with program requirements between annual inspections; although it corrected these problems before the most recent inspection. |
|
|
|
|
|
Isolated |
Actual harm |
09/02/04 |
| 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. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
03/11/03 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/27/05 |
| Quality Care Deficiencies |
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/26/03 |
| Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/09/04 |
| Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/09/04 |
| 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 |
09/21/04 |
| Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
03/11/03 |
| Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
03/11/03 |
| Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/31/03 |
| Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
04/09/03 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/26/03 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
03/11/03 |
| Quality Care Deficiencies |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
09/21/04 |
| 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 |
04/09/03 |
| 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 |
03/11/03 |
| Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
|
|
|
|
|
Widespread |
Potential for minimal harm |
07/21/04 |
| Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
|
|
|
No inspection results have been reported.