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Percent of Certified Nursing Facilities with Top Ten Deficiencies, 2010

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Percent of Certified Nursing Facilities with Top Ten Deficiencies, 2010

Deficiency: Given to nursing facilities for problems which can result in a negative impact on the health and safety of residents.

Accident Environment: Resident environments must remain as free of accident hazards as possible.

Comprehensive Care Plans: Facilities must develop individualized comprehensive care plans to help ensure that each resident receives necessary personalized care and services.

Food Sanitation: Facilities must store, prepare, distribute, and serve food under sanitary conditions.

Housekeeping: Facilities must maintain a sanitary, orderly, and comfortable environment.

Infection Control: Facilities must investigate, control, and prevent infections through an infection control program, determine procedures for individual cases and document them accurately.

Professional Standards: Facilities must ensure that the services they provide meet professional standards of quality.

Quality of Care: Residents must be provided the necessary care and services to enable them to achieve their highest levels of physical, mental, and psychosocial well-being. This includes adequate supervision and assistance to prevent accidents.

Unnecessary Drugs: Each resident's drug regimen must be free from unnecessary drugs. An unnecessary drug is any drug when used in excessive dose, for excessive duration, without adequate monitoring, without adequate indications for its use, or in the presence of adverse consequences which indicate the dose should be reduced or discontinued.

Clinical Records: The facility must maintain records on each resident in accordance with accepted professional standards and practices that are complete; accurately documented; readily accessible; and systematically organized. The clinical record must contain sufficient information to identify the resident; a record of the resident's assessments; the plan of care and services provided; the results of any preadmission screening conducted by the State; and progress notes.

Dignity: Facilities must promote care for residents in a manner and in an environment that maintains or enhances dignity and respect in full recognition of his or her individuality. This involves assisting residents to be well groomed, dress appropriately, promote independence in dining, allowing private space and property, speaking and listening respectfully, and focusing on the individual's communication.

Data Source: C. Harrington, H. Carrillo, M. Dowdell, P. Tang, and B. Blank. Table 1, "Nursing, Facilities, Staffing, Residents, and Facility Deficiencies, 2005 Through 2010," Department of Social and Behavioral Sciences, University of California, San Francisco, accessed January 2012. http://www.pascenter.org. Based on the Online Survey, Certification, and Reporting system (OSCAR), Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services.

Graph Last Updated: 05/14/2012

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