| Measure |
Score |
County Ave |
State Ave |
Updated |
| Percent of High-Risk Residents Who Have Pressure Sores |
12 % |
|
|
09/02/05 |
| Percent of Low-Risk Residents Who Have Pressure Sores |
0 % |
|
|
09/02/05 |
| Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder |
48 % |
|
|
09/02/05 |
| Percent of Residents Who are More Depressed or Anxious |
24 % |
|
|
09/02/05 |
| Percent of Residents Who Have Moderate to Severe Pain |
2 % |
|
|
09/02/05 |
| Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder |
7 % |
|
|
09/02/05 |
| Percent of Residents Who Lose Too Much Weight |
10 % |
|
|
09/02/05 |
| Percent of Residents Who Spend Most of Their Time in Bed or in a Chair |
2 % |
|
|
09/02/05 |
| Percent of Residents Who Were Physically Restrained |
6 % |
|
|
09/02/05 |
| Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse |
5 % |
|
|
09/02/05 |
| Percent of Residents Whose Need for Help With Daily Activities Has Increased |
7 % |
|
|
09/02/05 |
| Percent of Residents With a Urinary Tract Infection |
8 % |
|
|
09/02/05 |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain |
12 % |
|
|
09/02/05 |
| Percent of Short-Stay Residents With Delirium |
9 % |
|
|
09/02/05 |
| Percent of Short-Stay Residents With Pressure Sores |
19 % |
|
|
09/02/05 |
| Severity |
Scope |
Level of Nursing Home Neglect |
Updated |
Category |
Deficiency |
|
|
Isolated |
Immediate jeopardy to resident health or safety |
02/16/05 |
| Mistreatment Deficiencies |
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. |
|
|
|
|
|
Isolated |
Actual harm |
02/16/05 |
| Administration Deficiencies |
1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. |
|
|
|
|
|
Isolated |
Actual harm |
02/16/05 |
| 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 |
Actual harm |
04/04/05 |
| 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 |
Actual harm |
07/17/03 |
| 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 |
03/24/04 |
| Environmental Deficiencies |
Have a program to keep infection from spreading. |
|
|
|
|
|
Pattern |
Minimal harm or potential for actual harm |
04/04/05 |
| Resident Rights Deficiencies |
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
12/03/03 |
| 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. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
09/27/04 |
| 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 |
01/06/05 |
| 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 |
02/25/05 |
| Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/16/05 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/25/05 |
| Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
10/12/04 |
| Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
08/07/03 |
| 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 |
04/12/04 |
| 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 |
08/07/03 |
| 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 |
11/14/03 |
| 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 |
02/16/05 |
| 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 |
04/04/05 |
| Resident Rights Deficiencies |
Provide enough notice before discharging or transferring a resident. |
|
|
|
|
|
Isolated |
Minimal harm or potential for actual harm |
02/16/05 |
| Resident Rights Deficiencies |
Try to resolve each resident's complaints quickly. |
|
|
|
|
|
Widespread |
Potential for minimal harm |
02/16/05 |
| Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
|
|
|
No inspection results have been reported.