| Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 16% |
| Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 90+% |
| Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 22% |
| Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 9% |
| Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 10% |
| Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 8% |
| Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 0% |
| Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90+% |
| Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 2% |
| Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 9% |
| Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 23% |
| Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 3% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 6% |
| Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 46% |
| Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 90+% |
| Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 18% |
| Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 90+% |
| Percent of Short Term Nursing Home Residents With Delirium: 6% |
| Percent of Short Term Nursing Home Residents With Pressure Sores: 11% |
Nursing Home Violations by Retirement Center, (The)
|
| Health Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Mistreatment Deficiencies |
10/07/2004 |
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 |
| Nutrition and Dietary Deficiencies |
10/07/2004 |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Potential for minimal harm |
| Resident Assessment Deficiencies |
10/07/2004 |
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 |
| Resident Assessment Deficiencies |
10/07/2004 |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/15/2005 |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
12/15/2005 |
Keep all essential equipment working safely. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
12/15/2005 |
Make sure that residents are well nourished. |
Pattern |
Minimal harm or potential for actual harm |
| Nutrition and Dietary Deficiencies |
12/15/2005 |
Make sure that the attending doctor orders special diets. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
12/15/2005 |
Give professional services that follow each resident's written care plan. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
12/15/2005 |
Allow residents to easily see the results of the nursing home's most recent survey. |
Pattern |
Potential for minimal harm |
| Resident Rights Deficiencies |
12/15/2005 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| Administration Deficiencies |
09/29/2006 |
Train all employees on what to do in an emergency. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/29/2006 |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/29/2006 |
Have a program to keep infection from spreading. |
Widespread |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/29/2006 |
Keep all essential equipment working safely. |
Pattern |
Minimal harm or potential for actual harm |
| Environmental Deficiencies |
09/29/2006 |
Provide bedrooms that don't allow residents to see each other when privacy is needed. |
Pattern |
Potential for minimal harm |
| Nutrition and Dietary Deficiencies |
09/29/2006 |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
09/29/2006 |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
Isolated |
Minimal harm or potential for actual harm |
| Pharmacy Service Deficiencies |
09/29/2006 |
Keep drugs and other similar products locked safely and properly stored. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/29/2006 |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/29/2006 |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| Quality Care Deficiencies |
09/29/2006 |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
09/29/2006 |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Assessment Deficiencies |
09/29/2006 |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Pattern |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/29/2006 |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| Resident Rights Deficiencies |
09/29/2006 |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| Fire Safety Violations: |
| Category: |
Date: |
Specific Violation: |
Scope: |
Level of Harm Caused: |
| Building Contruction Deficiencies |
10/05/2004 |
a two-hour-resistant firewall in common walls. |
Widespread |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
10/05/2004 |
properly protected cooking facilities. |
Widespread |
Potential for minimal harm |
| Corridor Walls and Doors Deficiencies |
10/05/2004 |
corridor and hallway doors that block smoke. |
Widespread |
Potential for minimal harm |
| Fire Alarm Systems Deficiencies |
10/05/2004 |
an approved installation, maintenance and testing program for fire alarm systems. |
Widespread |
Potential for minimal harm |
| Hazardous Area Deficiencies |
10/05/2004 |
construction that can resist fire for one hour or an approved fire extinguishing system. |
Widespread |
Potential for minimal harm |
| Smoking Regulations Deficiencies |
10/05/2004 |
posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. |
Widespread |
Potential for minimal harm |
| Exits and Egress Deficiencies |
12/15/2005 |
exits that are accessible at all times. |
Widespread |
Potential for minimal harm |
| Building Service Equipment Deficiencies |
09/28/2006 |
properly protected cooking facilities. |
Widespread |
Potential for minimal harm |
