| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
23 % |
|
|
09/23/04 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
5 % |
|
|
09/23/04 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
51 % |
|
|
09/23/04 |
| Percent of Residents Who are More Depressed or Anxious |
3 % |
|
|
09/23/04 |
| Percent of Residents Who Have Moderate to Severe Pain |
18 % |
|
|
09/23/04 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
9 % |
|
|
09/23/04 |
| Percent of Residents Who Lose Too Much Weight |
5 % |
|
|
09/23/04 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
5 % |
|
|
09/23/04 |
| Percent of Residents Who Were Physically Restrained |
8 % |
|
|
09/23/04 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
9 % |
|
|
09/23/04 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
13 % |
|
|
09/23/04 |
| Percent of Residents With a Urinary Tract Infection |
9 % |
|
|
09/23/04 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
32 % |
|
|
09/23/04 |
| Percent of Short-Stay Residents With Delirium |
1 % |
|
|
09/23/04 |
| Percent of Short-Stay Residents With Pressure Sores |
21 % |
|
|
09/23/04 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Actual harm |
06/22/05 |
| Mistreatment Deficiencies |
Protect each resident from all abuse, physical punishment, and being separated from others. |
|
|
|
|
|
Isolated |
Actual harm |
07/12/05 |
| Pharmacy Service Deficiencies |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
|
|
|
|
|
Isolated |
Actual harm |
07/12/05 |
| Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
|
|
|
|
|
Isolated |
Actual harm |
07/12/05 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Actual harm |
05/17/05 |
| Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
05/17/05 |
| Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
01/21/05 |
| Pharmacy Service Deficiencies |
Properly mark drugs and other similar products. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/12/05 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/17/05 |
| Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/17/05 |
| Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/17/05 |
| 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 |
12/12/02 |
| 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 |
06/22/05 |
| 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 |
05/17/05 |
| Resident Rights Deficiencies |
Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/17/05 |
| Resident Rights Deficiencies |
Protect the resident from a transfer or discharge that is not wanted or needed. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/17/05 |
| Resident Rights Deficiencies |
Provide enough notice before discharging or transferring a resident. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
05/17/05 |
| Resident Rights Deficiencies |
Provide written records when a resident is transferred or discharged. |
|
|
|
|
|
Widespread |
Potential for minimal harm |
01/21/05 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Pattern |
Potential for minimal harm |
12/12/02 |
| Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
|
|
|
No inspection results have been reported.