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NATIONAL NURSING HOME WATCH LIST

CREEKSIDE HEALTHCARE CTR: Actual Harm and/or Immediate Jeopardy

1900 CHURCH LANE

SAN PABLO CA

TELEPHONE: 5102355514

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 80 / 98

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Based on the annual and complaint survey data reported by CMS as of 02/27/08 , this home is listed because in at least one area they caused actual harm to a patient and/or subjected the patients to immediate jeopardy. More recent reports/corrections may be available. Check with the nursing home administrator. Actual harm is indicated by a score of G, H, I, while J, K, L indicate immediate jeopardy. The color coding scheme is below:
RATING DEFINITION
actual harm and/or immediate jeopardy: score= G,H,I,J,K,L
potential for more than minimal harm: score= D, E, F
potential for minimal harm: score= A, B, C
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RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 05/18/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Send and promptly deliver unopened mail to residents. E
Give each resident a special diet to help when there is a nutritional problem. E
Make sure that each resident's nutritional needs were met. G
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. D
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
Provide services to meet the needs and preferences of each resident. D
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. C
Let residents complain without being treated differently or badly. D
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
Make sure that residents are safe from serious medication errors. D
Hire a qualified dietician. C
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. E
Have a program to keep infection from spreading. D
Have a detailed, written plan for disasters and emergencies. D
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. E
Keep accurate and appropriate medical records. E

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
03/01/2007 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
03/01/2007 Give each resident care and services to get or keep the highest quality of life possible. D
03/01/2007 Keep accurate and appropriate medical records. D
07/25/2007 Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
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