| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
13 % |
|
|
04/13/05 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
2 % |
|
|
04/13/05 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
59 % |
|
|
04/13/05 |
| Percent of Residents Who are More Depressed or Anxious |
8 % |
|
|
04/13/05 |
| Percent of Residents Who Have Moderate to Severe Pain |
6 % |
|
|
04/13/05 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
6 % |
|
|
04/13/05 |
| Percent of Residents Who Lose Too Much Weight |
15 % |
|
|
04/13/05 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
7 % |
|
|
04/13/05 |
| Percent of Residents Who Were Physically Restrained |
2 % |
|
|
04/13/05 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
10 % |
|
|
04/13/05 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
8 % |
|
|
04/13/05 |
| Percent of Residents With a Urinary Tract Infection |
12 % |
|
|
04/13/05 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
17 % |
|
|
04/13/05 |
| Percent of Short-Stay Residents With Delirium |
4 % |
|
|
04/13/05 |
| Percent of Short-Stay Residents With Pressure Sores |
12 % |
|
|
04/13/05 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Pattern |
Immediate jeopardy to resident health or safety |
12/19/02 |
| Mistreatment Deficiencies |
Keep each resident free from physical restraints, unless needed for medical treatment. |
|
|
|
|
|
Pattern |
Immediate jeopardy to resident health or safety |
12/19/02 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Pattern |
Immediate jeopardy to resident health or safety |
12/19/02 |
| Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
|
|
|
|
|
Isolated |
Immediate jeopardy to resident health or safety |
12/19/02 |
| 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. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
12/19/02 |
| Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
12/19/02 |
| Administration Deficiencies |
Keep accurate and appropriate medical records. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
07/16/03 |
| Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
01/12/05 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
01/12/05 |
| Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/04/04 |
| Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
02/04/04 |
| Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/16/03 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/04/04 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/11/04 |
| Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
07/16/03 |
| Quality Care Deficiencies |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
12/19/02 |
| 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 |
11/24/03 |
| Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/11/04 |
| 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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
11/24/03 |
| Resident Rights Deficiencies |
Protect the resident from a transfer or discharge that is not wanted or needed. |
|
|
|
|
|
Pattern |
Potential for minimal harm |
01/12/05 |
| Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
|
|
|
No inspection results have been reported.