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. Author manuscript; available in PMC: 2016 May 24.
Published in final edited form as: J Aging Soc Policy. 2011 Jan;23(1):34–57. doi: 10.1080/08959420.2011.532011

Table 2.

Scope and Severity Classifications Used for Medicare/Medicaid Certification Survey Deficiencies and Percent of Nursing Homes Receiving Deficiency Citations for Resident Safety in 2007

Environmental Safety Deficiency Citationsa Scope
Severity Isolated Pattern Widespread

Potential for minimal harm A
(NR)
B
7.75% (420)
C
4.72% (256)

Potential for more than minimal harm D
47.14% (2,556)
E
36.50% (1,979)
F
4.30% (233)

Other actual harm G
10.20% (553)
H
0.26% (14)
I
0% (0)

Actual or potential for death/serious injury J
0.98% (53)
K
1.05% (57)
L
0.37% (20)

Care Safety Deficiency Citationsb

Severity Isolated Pattern Widespread

Potential for minimal harm A
(NR)
B
3.94% (218)
C
1.58% (88)

Potential for more than minimal harm D
52.88% (2,928)
E
35.51% (1,966)
F
4.80% (266)

Other actual harm G
0.70% (39)
H
0.13% (7)
I
0.05% (3)

Actual or potential for death/serious injury J
0.09% (5)
K
0.22% (12)
L
0.09% (5)

Number in parentheses is the number of citations given in 2007.

Severity is the extent of harm to the resident.

Scope is the number of residents affected (Isolated defined as affecting a single or very limited number of residents; Pattern defined as affecting more than a very limited number of residents; Widespread defined as affecting a large portion or all residents).

NR, not recorded in the OSCAR.

For details on Deficiency Citations included in Environmental Safety Issues and Care Safety Issues see Appendix 1.

Note K-Tags are not recorded with scope and severity designations