In the simplest: Preventable Problems. Think pressure ulcers, contractures, weight loss, non-healing wounds, medication errors, decline in mobility/ ADL ability.
Rationale: If adequate care is provided, most of those are prevented. Certainly you're going to have patients or residents that surprise you, and develop/ decline in condition. If you're diligently monitoring and putting interventions in place, you won't have big problems with these things that are supposed to be prevented.
Look at your staffing patterns. If you don't have enough registered nurses to assess, and plan care ; enough LPN/LVNs to monitor, implement, and notice the daily changes; enough nursing assistants to provide the hands-on care, declines will happen.
Talk with your residents: Use the QIS Resident Interview and Observation
form. The surveyors will ask these exact questions. Don't be surprised by your resident's answers.