KFF.orgState Health Facts - Your source for state health data
Kaiser Family Foundation Kaiser Health News Kaiser Family Foundation

     Choose a different category...

Providers & Service Use 
Hospitals
Hospital Trends
Medical Errors
Nursing Homes
Rural Health Clinics
Federally Qualified Health Centers
Physicians
Health Professional Shortage Areas
Access to Care
Medical School Graduates
Medical Malpractice
Non-Physician Providers
Dentists
Health Care Employment
Print

Percent of Certified Nursing Facilities with Top Ten Deficiencies, 2007

|
|
|

Show:

Rank By:

|

United StatesPercent0% - 100%
 
Accident Environment37%
Food Sanitation35%
Quality of Care29%
Professional Standards28%
Comprehensive Care Plans22%
Housekeeping20%
Incontinence/Urinary Care19%
Pressure Sores19%
Unnecessary Drugs19%
Infection Control18%



AlabamaPercent0% - 100%
 
Accident Environment27%
Food Sanitation50%
Quality of Care9%
Professional Standards41%
Comprehensive Care Plans21%
Housekeeping13%
Incontinence/Urinary Care17%
Pressure Sores17%
Unnecessary Drugs1%
Infection Control21%

AlaskaPercent0% - 100%
 
Accident Environment7%
Food Sanitation83%
Quality of Care0%
Professional Standards33%
Comprehensive Care Plans27%
Housekeeping13%
Incontinence/Urinary Care7%
Pressure Sores7%
Unnecessary Drugs13%
Infection Control7%

ArizonaPercent0% - 100%
 
Accident Environment56%
Food Sanitation28%
Quality of Care28%
Professional Standards62%
Comprehensive Care Plans19%
Housekeeping27%
Incontinence/Urinary Care30%
Pressure Sores16%
Unnecessary Drugs19%
Infection Control39%

ArkansasPercent0% - 100%
 
Accident Environment77%
Food Sanitation45%
Quality of Care61%
Professional Standards5%
Comprehensive Care Plans6%
Housekeeping25%
Incontinence/Urinary Care33%
Pressure Sores49%
Unnecessary Drugs17%
Infection Control31%

CaliforniaPercent0% - 100%
 
Accident Environment40%
Food Sanitation55%
Quality of Care37%
Professional Standards31%
Comprehensive Care Plans44%
Housekeeping29%
Incontinence/Urinary Care25%
Pressure Sores20%
Unnecessary Drugs33%
Infection Control30%

ColoradoPercent0% - 100%
 
Accident Environment59%
Food Sanitation47%
Quality of Care53%
Professional Standards37%
Comprehensive Care Plans46%
Housekeeping24%
Incontinence/Urinary Care32%
Pressure Sores23%
Unnecessary Drugs39%
Infection Control21%

ConnecticutPercent0% - 100%
 
Accident Environment57%
Food Sanitation31%
Quality of Care46%
Professional Standards54%
Comprehensive Care Plans45%
Housekeeping22%
Incontinence/Urinary Care19%
Pressure Sores35%
Unnecessary Drugs25%
Infection Control20%

DelawarePercent0% - 100%
 
Accident Environment82%
Food Sanitation64%
Quality of Care77%
Professional Standards23%
Comprehensive Care Plans39%
Housekeeping52%
Incontinence/Urinary Care25%
Pressure Sores36%
Unnecessary Drugs7%
Infection Control25%

District of ColumbiaPercent0% - 100%
 
Accident Environment83%
Food Sanitation100%
Quality of Care78%
Professional Standards28%
Comprehensive Care Plans78%
Housekeeping78%
Incontinence/Urinary Care11%
Pressure Sores33%
Unnecessary Drugs33%
Infection Control67%

FloridaPercent0% - 100%
 
Accident Environment22%
Food Sanitation47%
Quality of Care18%
Professional Standards51%
Comprehensive Care Plans30%
Housekeeping30%
Incontinence/Urinary Care25%
Pressure Sores10%
Unnecessary Drugs18%
Infection Control20%

GeorgiaPercent0% - 100%
 
Accident Environment28%
Food Sanitation25%
Quality of Care49%
Professional Standards12%
Comprehensive Care Plans14%
Housekeeping35%
Incontinence/Urinary Care35%
Pressure Sores18%
Unnecessary Drugs8%
Infection Control18%

HawaiiPercent0% - 100%
 
Accident Environment22%
Food Sanitation27%
Quality of Care22%
Professional Standards12%
Comprehensive Care Plans42%
Housekeeping0%
Incontinence/Urinary Care32%
Pressure Sores10%
Unnecessary Drugs15%
Infection Control32%

IdahoPercent0% - 100%
 
Accident Environment73%
Food Sanitation36%
Quality of Care36%
Professional Standards34%
Comprehensive Care Plans10%
Housekeeping23%
Incontinence/Urinary Care36%
Pressure Sores30%
Unnecessary Drugs47%
Infection Control16%

IllinoisPercent0% - 100%
 
Accident Environment47%
Food Sanitation25%
Quality of Care22%
Professional Standards33%
Comprehensive Care Plans10%
Housekeeping17%
Incontinence/Urinary Care21%
Pressure Sores23%
Unnecessary Drugs17%
Infection Control8%

IndianaPercent0% - 100%
 
Accident Environment44%
Food Sanitation28%
Quality of Care35%
Professional Standards35%
Comprehensive Care Plans32%
Housekeeping23%
Incontinence/Urinary Care28%
Pressure Sores27%
Unnecessary Drugs25%
Infection Control17%

IowaPercent0% - 100%
 
Accident Environment40%
Food Sanitation37%
Quality of Care22%
Professional Standards41%
Comprehensive Care Plans12%
Housekeeping19%
Incontinence/Urinary Care11%
Pressure Sores18%
Unnecessary Drugs8%
Infection Control24%

KansasPercent0% - 100%
 
Accident Environment53%
Food Sanitation45%
Quality of Care32%
Professional Standards47%
Comprehensive Care Plans38%
Housekeeping40%
Incontinence/Urinary Care43%
Pressure Sores41%
Unnecessary Drugs33%
Infection Control9%

KentuckyPercent0% - 100%
 
Accident Environment23%
Food Sanitation34%
Quality of Care17%
Professional Standards31%
Comprehensive Care Plans21%
Housekeeping34%
Incontinence/Urinary Care13%
Pressure Sores12%
Unnecessary Drugs4%
Infection Control5%

LouisianaPercent0% - 100%
 
Accident Environment43%
Food Sanitation41%
Quality of Care14%
Professional Standards14%
Comprehensive Care Plans21%
Housekeeping20%
Incontinence/Urinary Care11%
Pressure Sores17%
Unnecessary Drugs25%
Infection Control37%

MainePercent0% - 100%
 
Accident Environment35%
Food Sanitation39%
Quality of Care18%
Professional Standards66%
Comprehensive Care Plans43%
Housekeeping24%
Incontinence/Urinary Care35%
Pressure Sores18%
Unnecessary Drugs15%
Infection Control14%

MarylandPercent0% - 100%
 
Accident Environment48%
Food Sanitation49%
Quality of Care68%
Professional Standards33%
Comprehensive Care Plans26%
Housekeeping28%
Incontinence/Urinary Care21%
Pressure Sores10%
Unnecessary Drugs39%
Infection Control32%

MassachusettsPercent0% - 100%
 
Accident Environment26%
Food Sanitation8%
Quality of Care15%
Professional Standards28%
Comprehensive Care Plans24%
Housekeeping7%
Incontinence/Urinary Care10%
Pressure Sores9%
Unnecessary Drugs16%
Infection Control7%

MichiganPercent0% - 100%
 
Accident Environment58%
Food Sanitation50%
Quality of Care44%
Professional Standards34%
Comprehensive Care Plans18%
Housekeeping27%
Incontinence/Urinary Care13%
Pressure Sores20%
Unnecessary Drugs31%
Infection Control15%

MinnesotaPercent0% - 100%
 
Accident Environment53%
Food Sanitation40%
Quality of Care21%
Professional Standards2%
Comprehensive Care Plans30%
Housekeeping11%
Incontinence/Urinary Care62%
Pressure Sores67%
Unnecessary Drugs47%
Infection Control15%

MississippiPercent0% - 100%
 
Accident Environment23%
Food Sanitation28%
Quality of Care8%
Professional Standards26%
Comprehensive Care Plans23%
Housekeeping12%
Incontinence/Urinary Care9%
Pressure Sores6%
Unnecessary Drugs9%
Infection Control21%

MissouriPercent0% - 100%
 
Accident Environment36%
Food Sanitation42%
Quality of Care22%
Professional Standards61%
Comprehensive Care Plans32%
Housekeeping12%
Incontinence/Urinary Care23%
Pressure Sores27%
Unnecessary Drugs8%
Infection Control12%

MontanaPercent0% - 100%
 
Accident Environment24%
Food Sanitation41%
Quality of Care11%
Professional Standards48%
Comprehensive Care Plans14%
Housekeeping20%
Incontinence/Urinary Care11%
Pressure Sores14%
Unnecessary Drugs27%
Infection Control9%

NebraskaPercent0% - 100%
 
Accident Environment38%
Food Sanitation42%
Quality of Care33%
Professional Standards38%
Comprehensive Care Plans12%
Housekeeping28%
Incontinence/Urinary Care22%
Pressure Sores21%
Unnecessary Drugs18%
Infection Control9%

NevadaPercent0% - 100%
 
Accident Environment21%
Food Sanitation40%
Quality of Care52%
Professional Standards19%
Comprehensive Care Plans33%
Housekeeping4%
Incontinence/Urinary Care25%
Pressure Sores13%
Unnecessary Drugs17%
Infection Control27%

New HampshirePercent0% - 100%
 
Accident Environment12%
Food Sanitation30%
Quality of Care6%
Professional Standards42%
Comprehensive Care Plans15%
Housekeeping1%
Incontinence/Urinary Care0%
Pressure Sores7%
Unnecessary Drugs5%
Infection Control3%

New JerseyPercent0% - 100%
 
Accident Environment28%
Food Sanitation23%
Quality of Care20%
Professional Standards22%
Comprehensive Care Plans12%
Housekeeping7%
Incontinence/Urinary Care7%
Pressure Sores16%
Unnecessary Drugs28%
Infection Control3%

New MexicoPercent0% - 100%
 
Accident Environment24%
Food Sanitation19%
Quality of Care20%
Professional Standards1%
Comprehensive Care Plans40%
Housekeeping17%
Incontinence/Urinary Care19%
Pressure Sores16%
Unnecessary Drugs14%
Infection Control7%

New YorkPercent0% - 100%
 
Accident Environment33%
Food Sanitation24%
Quality of Care22%
Professional Standards40%
Comprehensive Care Plans6%
Housekeeping15%
Incontinence/Urinary Care7%
Pressure Sores19%
Unnecessary Drugs10%
Infection Control31%

North CarolinaPercent0% - 100%
 
Accident Environment26%
Food Sanitation48%
Quality of Care14%
Professional Standards26%
Comprehensive Care Plans4%
Housekeeping9%
Incontinence/Urinary Care12%
Pressure Sores8%
Unnecessary Drugs16%
Infection Control3%

North DakotaPercent0% - 100%
 
Accident Environment50%
Food Sanitation34%
Quality of Care23%
Professional Standards14%
Comprehensive Care Plans5%
Housekeeping6%
Incontinence/Urinary Care4%
Pressure Sores9%
Unnecessary Drugs19%
Infection Control5%

OhioPercent0% - 100%
 
Accident Environment46%
Food Sanitation21%
Quality of Care27%
Professional Standards22%
Comprehensive Care Plans17%
Housekeeping18%
Incontinence/Urinary Care14%
Pressure Sores22%
Unnecessary Drugs17%
Infection Control17%

OklahomaPercent0% - 100%
 
Accident Environment29%
Food Sanitation65%
Quality of Care28%
Professional Standards1%
Comprehensive Care Plans34%
Housekeeping30%
Incontinence/Urinary Care20%
Pressure Sores13%
Unnecessary Drugs33%
Infection Control42%

OregonPercent0% - 100%
 
Accident Environment24%
Food Sanitation8%
Quality of Care55%
Professional Standards8%
Comprehensive Care Plans10%
Housekeeping2%
Incontinence/Urinary Care15%
Pressure Sores13%
Unnecessary Drugs28%
Infection Control2%

PennsylvaniaPercent0% - 100%
 
Accident Environment33%
Food Sanitation29%
Quality of Care45%
Professional Standards6%
Comprehensive Care Plans18%
Housekeeping9%
Incontinence/Urinary Care10%
Pressure Sores9%
Unnecessary Drugs17%
Infection Control18%

Rhode IslandPercent0% - 100%
 
Accident Environment11%
Food Sanitation6%
Quality of Care4%
Professional Standards13%
Comprehensive Care Plans4%
Housekeeping11%
Incontinence/Urinary Care0%
Pressure Sores7%
Unnecessary Drugs1%
Infection Control0%

South CarolinaPercent0% - 100%
 
Accident Environment30%
Food Sanitation41%
Quality of Care45%
Professional Standards14%
Comprehensive Care Plans12%
Housekeeping32%
Incontinence/Urinary Care24%
Pressure Sores23%
Unnecessary Drugs5%
Infection Control26%

South DakotaPercent0% - 100%
 
Accident Environment29%
Food Sanitation31%
Quality of Care18%
Professional Standards32%
Comprehensive Care Plans9%
Housekeeping29%
Incontinence/Urinary Care2%
Pressure Sores5%
Unnecessary Drugs8%
Infection Control8%

TennesseePercent0% - 100%
 
Accident Environment35%
Food Sanitation19%
Quality of Care30%
Professional Standards28%
Comprehensive Care Plans10%
Housekeeping6%
Incontinence/Urinary Care24%
Pressure Sores9%
Unnecessary Drugs2%
Infection Control18%

TexasPercent0% - 100%
 
Accident Environment25%
Food Sanitation33%
Quality of Care20%
Professional Standards3%
Comprehensive Care Plans22%
Housekeeping21%
Incontinence/Urinary Care10%
Pressure Sores12%
Unnecessary Drugs8%
Infection Control18%

UtahPercent0% - 100%
 
Accident Environment12%
Food Sanitation55%
Quality of Care20%
Professional Standards14%
Comprehensive Care Plans12%
Housekeeping17%
Incontinence/Urinary Care4%
Pressure Sores4%
Unnecessary Drugs13%
Infection Control7%

VermontPercent0% - 100%
 
Accident Environment21%
Food Sanitation40%
Quality of Care13%
Professional Standards68%
Comprehensive Care Plans26%
Housekeeping29%
Incontinence/Urinary Care8%
Pressure Sores18%
Unnecessary Drugs21%
Infection Control42%

VirginiaPercent0% - 100%
 
Accident Environment37%
Food Sanitation42%
Quality of Care51%
Professional Standards43%
Comprehensive Care Plans11%
Housekeeping10%
Incontinence/Urinary Care10%
Pressure Sores21%
Unnecessary Drugs13%
Infection Control16%

WashingtonPercent0% - 100%
 
Accident Environment28%
Food Sanitation33%
Quality of Care28%
Professional Standards32%
Comprehensive Care Plans26%
Housekeeping28%
Incontinence/Urinary Care26%
Pressure Sores24%
Unnecessary Drugs24%
Infection Control11%

West VirginiaPercent0% - 100%
 
Accident Environment29%
Food Sanitation41%
Quality of Care46%
Professional Standards25%
Comprehensive Care Plans47%
Housekeeping5%
Incontinence/Urinary Care14%
Pressure Sores7%
Unnecessary Drugs41%
Infection Control42%

WisconsinPercent0% - 100%
 
Accident Environment33%
Food Sanitation11%
Quality of Care20%
Professional Standards15%
Comprehensive Care Plans24%
Housekeeping8%
Incontinence/Urinary Care24%
Pressure Sores19%
Unnecessary Drugs16%
Infection Control8%

WyomingPercent0% - 100%
 
Accident Environment58%
Food Sanitation63%
Quality of Care34%
Professional Standards40%
Comprehensive Care Plans16%
Housekeeping13%
Incontinence/Urinary Care34%
Pressure Sores16%
Unnecessary Drugs47%
Infection Control16%



(show/hide notes)
Notes: 

Data are for calendar year 2007.
For full details about the data and data collection, please refer to the report, "Nursing, Facilities, Staffing, Residents, and Facility Deficiencies, 2001 Through 2007," cited below.

Sources: 

C. Harrington, H. Carrillo, and B. Blank. Table 35, "Nursing, Facilities, Staffing, Residents, and Facility Deficiencies, 2001 Through 2007," Department of Social and Behavioral Sciences, University of California, San Francisco, accessed September 2008. Available at 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.

Definitions: 

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.
Incontinence/Urinary Care: Facilities must provide appropriate treatment and services to prevent incontinence and to restore as much bladder functioning as possible.
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.
Pressure Sores: Areas of damaged skin and tissue that develop when sustained pressure usually from a bed or wheelchair cuts off circulation to vulnerable parts of your body, especially the skin on your buttocks, hips and heels. Without adequate blood flow, the affected tissue dies. Although people living with paralysis are especially at risk, anyone who is bedridden, uses a wheelchair or is unable to change positions without help can develop pressure sores." (see http://www.mayoclinic.com/invoke.cfm?id=DS00570)
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.




     Help
KFF.org Kaiserhealthnews.org Kaiseredu.org
Search Contact Us Email Subscriptions Privacy Statement