Percent of Certified Nursing Facilities with Top Ten Deficiencies, 2007
| United States | Percent | 0% - 100% | |
| Accident Environment | 37% | ||
| Food Sanitation | 35% | ||
| Quality of Care | 29% | ||
| Professional Standards | 28% | ||
| Comprehensive Care Plans | 22% | ||
| Housekeeping | 20% | ||
| Incontinence/Urinary Care | 19% | ||
| Pressure Sores | 19% | ||
| Unnecessary Drugs | 19% | ||
| Infection Control | 18% | ||
| Alabama | Percent | 0% - 100% | |
| Accident Environment | 27% | ||
| Food Sanitation | 50% | ||
| Quality of Care | 9% | ||
| Professional Standards | 41% | ||
| Comprehensive Care Plans | 21% | ||
| Housekeeping | 13% | ||
| Incontinence/Urinary Care | 17% | ||
| Pressure Sores | 17% | ||
| Unnecessary Drugs | 1% | ||
| Infection Control | 21% | ||
| Alaska | Percent | 0% - 100% | |
| Accident Environment | 7% | ||
| Food Sanitation | 83% | ||
| Quality of Care | 0% | ||
| Professional Standards | 33% | ||
| Comprehensive Care Plans | 27% | ||
| Housekeeping | 13% | ||
| Incontinence/Urinary Care | 7% | ||
| Pressure Sores | 7% | ||
| Unnecessary Drugs | 13% | ||
| Infection Control | 7% | ||
| Arizona | Percent | 0% - 100% | |
| Accident Environment | 56% | ||
| Food Sanitation | 28% | ||
| Quality of Care | 28% | ||
| Professional Standards | 62% | ||
| Comprehensive Care Plans | 19% | ||
| Housekeeping | 27% | ||
| Incontinence/Urinary Care | 30% | ||
| Pressure Sores | 16% | ||
| Unnecessary Drugs | 19% | ||
| Infection Control | 39% | ||
| Arkansas | Percent | 0% - 100% | |
| Accident Environment | 77% | ||
| Food Sanitation | 45% | ||
| Quality of Care | 61% | ||
| Professional Standards | 5% | ||
| Comprehensive Care Plans | 6% | ||
| Housekeeping | 25% | ||
| Incontinence/Urinary Care | 33% | ||
| Pressure Sores | 49% | ||
| Unnecessary Drugs | 17% | ||
| Infection Control | 31% | ||
| California | Percent | 0% - 100% | |
| Accident Environment | 40% | ||
| Food Sanitation | 55% | ||
| Quality of Care | 37% | ||
| Professional Standards | 31% | ||
| Comprehensive Care Plans | 44% | ||
| Housekeeping | 29% | ||
| Incontinence/Urinary Care | 25% | ||
| Pressure Sores | 20% | ||
| Unnecessary Drugs | 33% | ||
| Infection Control | 30% | ||
| Colorado | Percent | 0% - 100% | |
| Accident Environment | 59% | ||
| Food Sanitation | 47% | ||
| Quality of Care | 53% | ||
| Professional Standards | 37% | ||
| Comprehensive Care Plans | 46% | ||
| Housekeeping | 24% | ||
| Incontinence/Urinary Care | 32% | ||
| Pressure Sores | 23% | ||
| Unnecessary Drugs | 39% | ||
| Infection Control | 21% | ||
| Connecticut | Percent | 0% - 100% | |
| Accident Environment | 57% | ||
| Food Sanitation | 31% | ||
| Quality of Care | 46% | ||
| Professional Standards | 54% | ||
| Comprehensive Care Plans | 45% | ||
| Housekeeping | 22% | ||
| Incontinence/Urinary Care | 19% | ||
| Pressure Sores | 35% | ||
| Unnecessary Drugs | 25% | ||
| Infection Control | 20% | ||
| Delaware | Percent | 0% - 100% | |
| Accident Environment | 82% | ||
| Food Sanitation | 64% | ||
| Quality of Care | 77% | ||
| Professional Standards | 23% | ||
| Comprehensive Care Plans | 39% | ||
| Housekeeping | 52% | ||
| Incontinence/Urinary Care | 25% | ||
| Pressure Sores | 36% | ||
| Unnecessary Drugs | 7% | ||
| Infection Control | 25% | ||
| District of Columbia | Percent | 0% - 100% | |
| Accident Environment | 83% | ||
| Food Sanitation | 100% | ||
| Quality of Care | 78% | ||
| Professional Standards | 28% | ||
| Comprehensive Care Plans | 78% | ||
| Housekeeping | 78% | ||
| Incontinence/Urinary Care | 11% | ||
| Pressure Sores | 33% | ||
| Unnecessary Drugs | 33% | ||
| Infection Control | 67% | ||
| Florida | Percent | 0% - 100% | |
| Accident Environment | 22% | ||
| Food Sanitation | 47% | ||
| Quality of Care | 18% | ||
| Professional Standards | 51% | ||
| Comprehensive Care Plans | 30% | ||
| Housekeeping | 30% | ||
| Incontinence/Urinary Care | 25% | ||
| Pressure Sores | 10% | ||
| Unnecessary Drugs | 18% | ||
| Infection Control | 20% | ||
| Georgia | Percent | 0% - 100% | |
| Accident Environment | 28% | ||
| Food Sanitation | 25% | ||
| Quality of Care | 49% | ||
| Professional Standards | 12% | ||
| Comprehensive Care Plans | 14% | ||
| Housekeeping | 35% | ||
| Incontinence/Urinary Care | 35% | ||
| Pressure Sores | 18% | ||
| Unnecessary Drugs | 8% | ||
| Infection Control | 18% | ||
| Hawaii | Percent | 0% - 100% | |
| Accident Environment | 22% | ||
| Food Sanitation | 27% | ||
| Quality of Care | 22% | ||
| Professional Standards | 12% | ||
| Comprehensive Care Plans | 42% | ||
| Housekeeping | 0% | ||
| Incontinence/Urinary Care | 32% | ||
| Pressure Sores | 10% | ||
| Unnecessary Drugs | 15% | ||
| Infection Control | 32% | ||
| Idaho | Percent | 0% - 100% | |
| Accident Environment | 73% | ||
| Food Sanitation | 36% | ||
| Quality of Care | 36% | ||
| Professional Standards | 34% | ||
| Comprehensive Care Plans | 10% | ||
| Housekeeping | 23% | ||
| Incontinence/Urinary Care | 36% | ||
| Pressure Sores | 30% | ||
| Unnecessary Drugs | 47% | ||
| Infection Control | 16% | ||
| Illinois | Percent | 0% - 100% | |
| Accident Environment | 47% | ||
| Food Sanitation | 25% | ||
| Quality of Care | 22% | ||
| Professional Standards | 33% | ||
| Comprehensive Care Plans | 10% | ||
| Housekeeping | 17% | ||
| Incontinence/Urinary Care | 21% | ||
| Pressure Sores | 23% | ||
| Unnecessary Drugs | 17% | ||
| Infection Control | 8% | ||
| Indiana | Percent | 0% - 100% | |
| Accident Environment | 44% | ||
| Food Sanitation | 28% | ||
| Quality of Care | 35% | ||
| Professional Standards | 35% | ||
| Comprehensive Care Plans | 32% | ||
| Housekeeping | 23% | ||
| Incontinence/Urinary Care | 28% | ||
| Pressure Sores | 27% | ||
| Unnecessary Drugs | 25% | ||
| Infection Control | 17% | ||
| Iowa | Percent | 0% - 100% | |
| Accident Environment | 40% | ||
| Food Sanitation | 37% | ||
| Quality of Care | 22% | ||
| Professional Standards | 41% | ||
| Comprehensive Care Plans | 12% | ||
| Housekeeping | 19% | ||
| Incontinence/Urinary Care | 11% | ||
| Pressure Sores | 18% | ||
| Unnecessary Drugs | 8% | ||
| Infection Control | 24% | ||
| Kansas | Percent | 0% - 100% | |
| Accident Environment | 53% | ||
| Food Sanitation | 45% | ||
| Quality of Care | 32% | ||
| Professional Standards | 47% | ||
| Comprehensive Care Plans | 38% | ||
| Housekeeping | 40% | ||
| Incontinence/Urinary Care | 43% | ||
| Pressure Sores | 41% | ||
| Unnecessary Drugs | 33% | ||
| Infection Control | 9% | ||
| Kentucky | Percent | 0% - 100% | |
| Accident Environment | 23% | ||
| Food Sanitation | 34% | ||
| Quality of Care | 17% | ||
| Professional Standards | 31% | ||
| Comprehensive Care Plans | 21% | ||
| Housekeeping | 34% | ||
| Incontinence/Urinary Care | 13% | ||
| Pressure Sores | 12% | ||
| Unnecessary Drugs | 4% | ||
| Infection Control | 5% | ||
| Louisiana | Percent | 0% - 100% | |
| Accident Environment | 43% | ||
| Food Sanitation | 41% | ||
| Quality of Care | 14% | ||
| Professional Standards | 14% | ||
| Comprehensive Care Plans | 21% | ||
| Housekeeping | 20% | ||
| Incontinence/Urinary Care | 11% | ||
| Pressure Sores | 17% | ||
| Unnecessary Drugs | 25% | ||
| Infection Control | 37% | ||
| Maine | Percent | 0% - 100% | |
| Accident Environment | 35% | ||
| Food Sanitation | 39% | ||
| Quality of Care | 18% | ||
| Professional Standards | 66% | ||
| Comprehensive Care Plans | 43% | ||
| Housekeeping | 24% | ||
| Incontinence/Urinary Care | 35% | ||
| Pressure Sores | 18% | ||
| Unnecessary Drugs | 15% | ||
| Infection Control | 14% | ||
| Maryland | Percent | 0% - 100% | |
| Accident Environment | 48% | ||
| Food Sanitation | 49% | ||
| Quality of Care | 68% | ||
| Professional Standards | 33% | ||
| Comprehensive Care Plans | 26% | ||
| Housekeeping | 28% | ||
| Incontinence/Urinary Care | 21% | ||
| Pressure Sores | 10% | ||
| Unnecessary Drugs | 39% | ||
| Infection Control | 32% | ||
| Massachusetts | Percent | 0% - 100% | |
| Accident Environment | 26% | ||
| Food Sanitation | 8% | ||
| Quality of Care | 15% | ||
| Professional Standards | 28% | ||
| Comprehensive Care Plans | 24% | ||
| Housekeeping | 7% | ||
| Incontinence/Urinary Care | 10% | ||
| Pressure Sores | 9% | ||
| Unnecessary Drugs | 16% | ||
| Infection Control | 7% | ||
| Michigan | Percent | 0% - 100% | |
| Accident Environment | 58% | ||
| Food Sanitation | 50% | ||
| Quality of Care | 44% | ||
| Professional Standards | 34% | ||
| Comprehensive Care Plans | 18% | ||
| Housekeeping | 27% | ||
| Incontinence/Urinary Care | 13% | ||
| Pressure Sores | 20% | ||
| Unnecessary Drugs | 31% | ||
| Infection Control | 15% | ||
| Minnesota | Percent | 0% - 100% | |
| Accident Environment | 53% | ||
| Food Sanitation | 40% | ||
| Quality of Care | 21% | ||
| Professional Standards | 2% | ||
| Comprehensive Care Plans | 30% | ||
| Housekeeping | 11% | ||
| Incontinence/Urinary Care | 62% | ||
| Pressure Sores | 67% | ||
| Unnecessary Drugs | 47% | ||
| Infection Control | 15% | ||
| Mississippi | Percent | 0% - 100% | |
| Accident Environment | 23% | ||
| Food Sanitation | 28% | ||
| Quality of Care | 8% | ||
| Professional Standards | 26% | ||
| Comprehensive Care Plans | 23% | ||
| Housekeeping | 12% | ||
| Incontinence/Urinary Care | 9% | ||
| Pressure Sores | 6% | ||
| Unnecessary Drugs | 9% | ||
| Infection Control | 21% | ||
| Missouri | Percent | 0% - 100% | |
| Accident Environment | 36% | ||
| Food Sanitation | 42% | ||
| Quality of Care | 22% | ||
| Professional Standards | 61% | ||
| Comprehensive Care Plans | 32% | ||
| Housekeeping | 12% | ||
| Incontinence/Urinary Care | 23% | ||
| Pressure Sores | 27% | ||
| Unnecessary Drugs | 8% | ||
| Infection Control | 12% | ||
| Montana | Percent | 0% - 100% | |
| Accident Environment | 24% | ||
| Food Sanitation | 41% | ||
| Quality of Care | 11% | ||
| Professional Standards | 48% | ||
| Comprehensive Care Plans | 14% | ||
| Housekeeping | 20% | ||
| Incontinence/Urinary Care | 11% | ||
| Pressure Sores | 14% | ||
| Unnecessary Drugs | 27% | ||
| Infection Control | 9% | ||
| Nebraska | Percent | 0% - 100% | |
| Accident Environment | 38% | ||
| Food Sanitation | 42% | ||
| Quality of Care | 33% | ||
| Professional Standards | 38% | ||
| Comprehensive Care Plans | 12% | ||
| Housekeeping | 28% | ||
| Incontinence/Urinary Care | 22% | ||
| Pressure Sores | 21% | ||
| Unnecessary Drugs | 18% | ||
| Infection Control | 9% | ||
| Nevada | Percent | 0% - 100% | |
| Accident Environment | 21% | ||
| Food Sanitation | 40% | ||
| Quality of Care | 52% | ||
| Professional Standards | 19% | ||
| Comprehensive Care Plans | 33% | ||
| Housekeeping | 4% | ||
| Incontinence/Urinary Care | 25% | ||
| Pressure Sores | 13% | ||
| Unnecessary Drugs | 17% | ||
| Infection Control | 27% | ||
| New Hampshire | Percent | 0% - 100% | |
| Accident Environment | 12% | ||
| Food Sanitation | 30% | ||
| Quality of Care | 6% | ||
| Professional Standards | 42% | ||
| Comprehensive Care Plans | 15% | ||
| Housekeeping | 1% | ||
| Incontinence/Urinary Care | 0% | ||
| Pressure Sores | 7% | ||
| Unnecessary Drugs | 5% | ||
| Infection Control | 3% | ||
| New Jersey | Percent | 0% - 100% | |
| Accident Environment | 28% | ||
| Food Sanitation | 23% | ||
| Quality of Care | 20% | ||
| Professional Standards | 22% | ||
| Comprehensive Care Plans | 12% | ||
| Housekeeping | 7% | ||
| Incontinence/Urinary Care | 7% | ||
| Pressure Sores | 16% | ||
| Unnecessary Drugs | 28% | ||
| Infection Control | 3% | ||
| New Mexico | Percent | 0% - 100% | |
| Accident Environment | 24% | ||
| Food Sanitation | 19% | ||
| Quality of Care | 20% | ||
| Professional Standards | 1% | ||
| Comprehensive Care Plans | 40% | ||
| Housekeeping | 17% | ||
| Incontinence/Urinary Care | 19% | ||
| Pressure Sores | 16% | ||
| Unnecessary Drugs | 14% | ||
| Infection Control | 7% | ||
| New York | Percent | 0% - 100% | |
| Accident Environment | 33% | ||
| Food Sanitation | 24% | ||
| Quality of Care | 22% | ||
| Professional Standards | 40% | ||
| Comprehensive Care Plans | 6% | ||
| Housekeeping | 15% | ||
| Incontinence/Urinary Care | 7% | ||
| Pressure Sores | 19% | ||
| Unnecessary Drugs | 10% | ||
| Infection Control | 31% | ||
| North Carolina | Percent | 0% - 100% | |
| Accident Environment | 26% | ||
| Food Sanitation | 48% | ||
| Quality of Care | 14% | ||
| Professional Standards | 26% | ||
| Comprehensive Care Plans | 4% | ||
| Housekeeping | 9% | ||
| Incontinence/Urinary Care | 12% | ||
| Pressure Sores | 8% | ||
| Unnecessary Drugs | 16% | ||
| Infection Control | 3% | ||
| North Dakota | Percent | 0% - 100% | |
| Accident Environment | 50% | ||
| Food Sanitation | 34% | ||
| Quality of Care | 23% | ||
| Professional Standards | 14% | ||
| Comprehensive Care Plans | 5% | ||
| Housekeeping | 6% | ||
| Incontinence/Urinary Care | 4% | ||
| Pressure Sores | 9% | ||
| Unnecessary Drugs | 19% | ||
| Infection Control | 5% | ||
| Ohio | Percent | 0% - 100% | |
| Accident Environment | 46% | ||
| Food Sanitation | 21% | ||
| Quality of Care | 27% | ||
| Professional Standards | 22% | ||
| Comprehensive Care Plans | 17% | ||
| Housekeeping | 18% | ||
| Incontinence/Urinary Care | 14% | ||
| Pressure Sores | 22% | ||
| Unnecessary Drugs | 17% | ||
| Infection Control | 17% | ||
| Oklahoma | Percent | 0% - 100% | |
| Accident Environment | 29% | ||
| Food Sanitation | 65% | ||
| Quality of Care | 28% | ||
| Professional Standards | 1% | ||
| Comprehensive Care Plans | 34% | ||
| Housekeeping | 30% | ||
| Incontinence/Urinary Care | 20% | ||
| Pressure Sores | 13% | ||
| Unnecessary Drugs | 33% | ||
| Infection Control | 42% | ||
| Oregon | Percent | 0% - 100% | |
| Accident Environment | 24% | ||
| Food Sanitation | 8% | ||
| Quality of Care | 55% | ||
| Professional Standards | 8% | ||
| Comprehensive Care Plans | 10% | ||
| Housekeeping | 2% | ||
| Incontinence/Urinary Care | 15% | ||
| Pressure Sores | 13% | ||
| Unnecessary Drugs | 28% | ||
| Infection Control | 2% | ||
| Pennsylvania | Percent | 0% - 100% | |
| Accident Environment | 33% | ||
| Food Sanitation | 29% | ||
| Quality of Care | 45% | ||
| Professional Standards | 6% | ||
| Comprehensive Care Plans | 18% | ||
| Housekeeping | 9% | ||
| Incontinence/Urinary Care | 10% | ||
| Pressure Sores | 9% | ||
| Unnecessary Drugs | 17% | ||
| Infection Control | 18% | ||
| Rhode Island | Percent | 0% - 100% | |
| Accident Environment | 11% | ||
| Food Sanitation | 6% | ||
| Quality of Care | 4% | ||
| Professional Standards | 13% | ||
| Comprehensive Care Plans | 4% | ||
| Housekeeping | 11% | ||
| Incontinence/Urinary Care | 0% | ||
| Pressure Sores | 7% | ||
| Unnecessary Drugs | 1% | ||
| Infection Control | 0% | ||
| South Carolina | Percent | 0% - 100% | |
| Accident Environment | 30% | ||
| Food Sanitation | 41% | ||
| Quality of Care | 45% | ||
| Professional Standards | 14% | ||
| Comprehensive Care Plans | 12% | ||
| Housekeeping | 32% | ||
| Incontinence/Urinary Care | 24% | ||
| Pressure Sores | 23% | ||
| Unnecessary Drugs | 5% | ||
| Infection Control | 26% | ||
| South Dakota | Percent | 0% - 100% | |
| Accident Environment | 29% | ||
| Food Sanitation | 31% | ||
| Quality of Care | 18% | ||
| Professional Standards | 32% | ||
| Comprehensive Care Plans | 9% | ||
| Housekeeping | 29% | ||
| Incontinence/Urinary Care | 2% | ||
| Pressure Sores | 5% | ||
| Unnecessary Drugs | 8% | ||
| Infection Control | 8% | ||
| Tennessee | Percent | 0% - 100% | |
| Accident Environment | 35% | ||
| Food Sanitation | 19% | ||
| Quality of Care | 30% | ||
| Professional Standards | 28% | ||
| Comprehensive Care Plans | 10% | ||
| Housekeeping | 6% | ||
| Incontinence/Urinary Care | 24% | ||
| Pressure Sores | 9% | ||
| Unnecessary Drugs | 2% | ||
| Infection Control | 18% | ||
| Texas | Percent | 0% - 100% | |
| Accident Environment | 25% | ||
| Food Sanitation | 33% | ||
| Quality of Care | 20% | ||
| Professional Standards | 3% | ||
| Comprehensive Care Plans | 22% | ||
| Housekeeping | 21% | ||
| Incontinence/Urinary Care | 10% | ||
| Pressure Sores | 12% | ||
| Unnecessary Drugs | 8% | ||
| Infection Control | 18% | ||
| Utah | Percent | 0% - 100% | |
| Accident Environment | 12% | ||
| Food Sanitation | 55% | ||
| Quality of Care | 20% | ||
| Professional Standards | 14% | ||
| Comprehensive Care Plans | 12% | ||
| Housekeeping | 17% | ||
| Incontinence/Urinary Care | 4% | ||
| Pressure Sores | 4% | ||
| Unnecessary Drugs | 13% | ||
| Infection Control | 7% | ||
| Vermont | Percent | 0% - 100% | |
| Accident Environment | 21% | ||
| Food Sanitation | 40% | ||
| Quality of Care | 13% | ||
| Professional Standards | 68% | ||
| Comprehensive Care Plans | 26% | ||
| Housekeeping | 29% | ||
| Incontinence/Urinary Care | 8% | ||
| Pressure Sores | 18% | ||
| Unnecessary Drugs | 21% | ||
| Infection Control | 42% | ||
| Virginia | Percent | 0% - 100% | |
| Accident Environment | 37% | ||
| Food Sanitation | 42% | ||
| Quality of Care | 51% | ||
| Professional Standards | 43% | ||
| Comprehensive Care Plans | 11% | ||
| Housekeeping | 10% | ||
| Incontinence/Urinary Care | 10% | ||
| Pressure Sores | 21% | ||
| Unnecessary Drugs | 13% | ||
| Infection Control | 16% | ||
| Washington | Percent | 0% - 100% | |
| Accident Environment | 28% | ||
| Food Sanitation | 33% | ||
| Quality of Care | 28% | ||
| Professional Standards | 32% | ||
| Comprehensive Care Plans | 26% | ||
| Housekeeping | 28% | ||
| Incontinence/Urinary Care | 26% | ||
| Pressure Sores | 24% | ||
| Unnecessary Drugs | 24% | ||
| Infection Control | 11% | ||
| West Virginia | Percent | 0% - 100% | |
| Accident Environment | 29% | ||
| Food Sanitation | 41% | ||
| Quality of Care | 46% | ||
| Professional Standards | 25% | ||
| Comprehensive Care Plans | 47% | ||
| Housekeeping | 5% | ||
| Incontinence/Urinary Care | 14% | ||
| Pressure Sores | 7% | ||
| Unnecessary Drugs | 41% | ||
| Infection Control | 42% | ||
| Wisconsin | Percent | 0% - 100% | |
| Accident Environment | 33% | ||
| Food Sanitation | 11% | ||
| Quality of Care | 20% | ||
| Professional Standards | 15% | ||
| Comprehensive Care Plans | 24% | ||
| Housekeeping | 8% | ||
| Incontinence/Urinary Care | 24% | ||
| Pressure Sores | 19% | ||
| Unnecessary Drugs | 16% | ||
| Infection Control | 8% | ||
| Wyoming | Percent | 0% - 100% | |
| Accident Environment | 58% | ||
| Food Sanitation | 63% | ||
| Quality of Care | 34% | ||
| Professional Standards | 40% | ||
| Comprehensive Care Plans | 16% | ||
| Housekeeping | 13% | ||
| Incontinence/Urinary Care | 34% | ||
| Pressure Sores | 16% | ||
| Unnecessary Drugs | 47% | ||
| Infection Control | 16% | ||
| Notes: | Data are for calendar year 2007. |
| 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. |
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