LOMOND PEAK NURSING AND REHABILITATION, LLC

Nursing Home Inspector

524 EAST 800 NORTH
OGDEN, UT 84404
Weber County
Phone: 801-782-3740
Provider Number: 46A071
Last Inspection: 09/12/2017

About the Nursing Home

Number of Beds: 85
Number of Residents: 42
Beds Available: 43
Percent Occupancy: 49%
Insurance Accepted: Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

12

Facility
26

County
29

UT
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

12

2017
35

2017
197

2016

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

9/12/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 10/20/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 10/20/2017
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 10/20/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 10/20/2017
 

4/27/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 6/7/2017
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 6/7/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 6/7/2017
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 6/7/2017
 
Failed To: Hire sufficient dietary support personnel. Pattern : Minimal 4 6/7/2017
 
Failed To: Have enough outside ventilation via a window or mechanical ventilation, or both. Pattern : Minimal 4 6/7/2017
 
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 6/7/2017
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 6/7/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 6/7/2017
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 6/7/2017
 

9/27/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 12/21/2016
 
Failed To: Send unopened mail from residents and promptly deliver unopened mail to residents. Widespread : Potential 4 12/21/2016
 
Failed To: Permit residents to remain in the facility and not be transferred or discharged without adequate reason. Isolated : Minimal 3 12/21/2016
 
Failed To: Provide written records when a resident is transferred or discharged. Isolated : Minimal 3 12/21/2016
 
Failed To: Provide timely notification to the resident before transfer or discharge. Isolated : Minimal 3 12/21/2016
 
Failed To: Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. Isolated : Minimal 3 12/21/2016
 
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 12/21/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Actual 4 12/21/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 12/21/2016
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 12/21/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Actual 4 12/21/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 12/21/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 12/21/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 12/21/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/21/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 12/21/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 12/21/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 12/21/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 12/21/2016
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 12/21/2016
 
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Actual 4 12/21/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 12/21/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Actual 4 12/21/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 12/21/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 12/21/2016
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Actual 5 12/21/2016
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 12/21/2016
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 12/21/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 12/21/2016
 
Failed To: Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. Isolated : Minimal 3 12/21/2016
 
Failed To: Make sure that doctors visit residents regularly, as required. Pattern : Minimal 4 12/21/2016
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 12/21/2016
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 12/21/2016
 
Failed To: 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe Isolated : Minimal 3 12/21/2016
 
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 12/21/2016
 
Failed To: Train all employees on what to do in an emergency, and carry out unannounced staff drills. Pattern : Minimal 4 12/21/2016
 
Failed To: Provide or obtain dental services for each resident. Isolated : Actual 4 12/21/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 12/21/2016
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 12/21/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 12/21/2016
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 12/21/2016
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Actual 4 12/21/2016
 
Failed To: Have enough outside ventilation via a window or mechanical ventilation, or both. Pattern : Minimal 4 12/21/2016
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Actual 5 12/21/2016
 
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Pattern : Minimal 4 12/21/2016
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 12/21/2016
 
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Pattern : Minimal 4 12/21/2016
 
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Pattern : Minimal 4 12/21/2016
 
Failed To: Keep complete, dated laboratory records in the resident's file. Pattern : Minimal 4 12/21/2016
 
Failed To: Keep signed and dated reports of x-rays and other diagnostic services. Isolated : Minimal 3 12/21/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 12/21/2016
 
Failed To: Keep clinical record information safe. Pattern : Minimal 4 12/21/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Actual 5 12/21/2016
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Minimal 4 12/21/2016
 

2/10/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 3/21/2016
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 3/21/2016
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Pattern : Minimal 4 3/21/2016
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 3/21/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Pattern : Minimal 4 3/21/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 3/21/2016
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 3/21/2016
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 3/21/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Actual 5 3/21/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 3/21/2016
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 3/21/2016
 
Failed To: 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 3 3/21/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 3/21/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 3/21/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 3/21/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 3/21/2016
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 3/21/2016
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 3/21/2016
 
Failed To: Make sure that doctors visit residents regularly, as required. Isolated : Minimal 3 3/21/2016
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Pattern : Minimal 4 3/21/2016
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 3/21/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 3/21/2016
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 3/21/2016
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Isolated : Actual 4 3/21/2016
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Pattern : Minimal 4 3/21/2016
 
Failed To: Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. Pattern : Minimal 4 3/21/2016
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Pattern : Minimal 4 3/21/2016
 
Failed To: Quickly tell the resident's doctor the results of laboratory tests. Isolated : Minimal 3 3/21/2016
 
Failed To: Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Pattern : Minimal 4 3/21/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Actual 4 3/21/2016
 

12/7/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated : Minimal 3 12/22/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 12/22/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 12/22/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 12/22/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 12/22/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 12/22/2015
 

9/10/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Minimal 4 10/23/2015
 
Failed To: Try to resolve each resident's complaints quickly. Pattern : Minimal 4 10/23/2015
 
Failed To: Permit residents to remain in the facility and not be transferred or discharged without adequate reason. Pattern : Minimal 4 10/23/2015
 
Failed To: Keep each resident free from drugs that restrain them, unless needed for medical treatment. Isolated : Minimal 3 10/23/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 10/23/2015
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 10/23/2015
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 10/23/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Actual 4 10/23/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/23/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 10/23/2015
 
Failed To: Assure that each resident’s assessment is updated at least once every 3 months. Pattern : Minimal 4 10/23/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 10/23/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 10/23/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Actual 5 10/23/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 10/23/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 10/23/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Actual 4 10/23/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 10/23/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 10/23/2015
 
Failed To: Ensure that residents are safe from serious medication errors. Pattern : Minimal 4 10/23/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Isolated : Actual 4 10/23/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Isolated : Minimal 3 10/23/2015
 
Failed To: Hire sufficient dietary support personnel. Pattern : Minimal 4 10/23/2015
 
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 10/23/2015
 
Failed To: Offer other nutritional food to each resident who will not eat the food served. Pattern : Minimal 4 10/23/2015
 
Failed To: Provide special eating equipment and utensils for each resident who needs them. Isolated : Minimal 3 10/23/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 10/23/2015
 
Failed To: Make sure that doctors visit residents regularly, as required. Pattern : Minimal 4 10/23/2015
 
Failed To: Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated : Minimal 3 10/23/2015
 
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 10/23/2015
 
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 10/23/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 10/23/2015
 
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Pattern : Minimal 4 10/23/2015
 
Failed To: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Pattern : Minimal 4 10/23/2015
 
Failed To: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Isolated : Minimal 3 10/23/2015
 
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 10/23/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 10/23/2015
 
Failed To: Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Pattern : Minimal 4 10/23/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 10/23/2015
 

8/10/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with 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 3 10/14/2015
 

4/2/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 5/15/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 5/1/2015
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 4/28/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/28/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg UT State Avg
Number of Residents 42 62.09 54.00
Registered Nurses 0.57 1.08 1.35
Licensed Practical / Vocational Nurses 0.74 0.70 0.58
Certified Nursing Assistants 2.53 2.62 2.62
Total Staff Hours 3.84 4.40 4.55

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% UT State Avg%
of high risk long-stay residents with pressure ulcers 12 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 97 96
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92 94 94
of long-stay residents experiencing one or more falls with major injury 5 3 3
of long-stay residents who have depressive symptoms 9 8 7
of long-stay residents who lose too much weight 10 7 5
of long-stay residents who received an antianxiety or hypnotic medication 40 33 28
of long-stay residents who received an antipsychotic medication 28 12 16
of long-stay residents who self-report moderate to severe pain 46 12 9
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 21 13 17
of long-stay residents whose need for help with daily activities has increased 22 12 13
of long-stay residents with a catheter inserted and left in their bladder 4 2 2
of long-stay residents with a urinary tract infection 1 3 4
of low risk long-stay residents who lose control of their bowels or bladder 35 43 48
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 93 90
of short-stay residents who self-report moderate to severe pain 62 14 11
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 68 62
of short-stay residents with pressure ulcers that are new or worsened 6 1 1