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NATIONAL NURSING HOME WATCH LIST

HAZEL HAWKINS MEMORIAL HOSPITAL D/P SN: Actual Harm and/or Immediate Jeopardy

911 SUNSET DRIVE

HOLLISTER CA

TELEPHONE: 8316375711

TYPE OF OWNERSHIP: Government - Hospital district

NUMBER OF BEDS / PERCENT OCCUPIED: 127 / 76

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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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COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
10/20/2004 Provide services to meet the needs and preferences of each resident. D
12/06/2004 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
12/06/2004 Provide care in a way that keeps or builds each resident's dignity and self respect. D
02/28/2005 Give professional services that meet a professional standard of quality. D
02/28/2005 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. D
03/29/2005 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
06/22/2005 Have enough nurses to care for every resident in a way that maximizes the resident's well being. D
07/14/2005 Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transf D
07/14/2005 Protect each resident from all abuse, physical punishment, and being separated from others. G
07/14/2005 Give professional services that follow each resident's written care plan. D
07/19/2005 Allow residents to easily see the results of the nursing home's most recent survey. B
07/19/2005 Provide care in a way that keeps or builds each resident's dignity and self respect. E
07/19/2005 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
07/19/2005 Make sure that the nursing home area is free of dangers that cause accidents. D
07/19/2005 Have enough nurses to care for every resident in a way that maximizes the resident's well being. D
09/23/2005 Provide care in a way that keeps or builds each resident's dignity and self respect. D
09/23/2005 Make sure that residents are safe from serious medication errors. G
12/08/2005 Provide written records when a resident is transferred or discharged. D
12/08/2005 Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. D
01/04/2006 Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
01/04/2006 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
01/23/2006 Provide care in a way that keeps or builds each resident's dignity and self respect. D
01/24/2006 Provide care in a way that keeps or builds each resident's dignity and self respect. D
01/24/2006 Make a complete assessment that covers all questions for areas that are listed in official regulations. D
02/02/2006 Keep each resident free from physical restraints, unless needed for medical treatment. D
02/09/2006 Keep each resident free from physical restraints, unless needed for medical treatment. D
02/28/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
02/28/2006 Give each resident care and services to get or keep the highest quality of life possible. D
02/28/2006 Have a program to keep infection from spreading. D
02/28/2006 Keep accurate and appropriate medical records. D
02/28/2006 Have a detailed, written plan for disasters and emergencies. D
04/10/2006 Make sure that the nursing home area is free of dangers that cause accidents. D
05/02/2006 Protect residents from mistreatment, neglect, and/or theft of personal property. D
05/02/2006 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. D
05/02/2006 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
05/17/2006 Make a complete assessment that covers all questions for areas that are listed in official regulations. D
09/27/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
09/27/2006 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update th D
09/27/2006 Give professional services that meet a professional standard of quality. D
09/27/2006 Make sure that residents are safe from serious medication errors. D
09/27/2006 Keep accurate and appropriate medical records. D
10/11/2006 Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
10/11/2006 Give each resident care and services to get or keep the highest quality of life possible. D
10/11/2006 Make sure that a working call system is available in each resident's room or bathroom and bathing area. D
10/17/2006 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
10/17/2006 Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. D
10/25/2006 Provide care in a way that keeps or builds each resident's dignity and self respect. D
10/27/2006 Provide care in a way that keeps or builds each resident's dignity and self respect. D
10/27/2006 Keep accurate and appropriate medical records. D
10/30/2006 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. B
11/08/2006 Protect each resident from all abuse, physical punishment, and being separated from others. E
11/08/2006 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
11/20/2006 Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transf D
11/20/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. E
11/20/2006 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
12/15/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
01/04/2007 Provide activities to meet the needs of each resident. E
01/04/2007 Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
01/04/2007 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
01/04/2007 Give professional services that follow each resident's written care plan. D
01/31/2007 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
02/06/2007 Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transf D
02/06/2007 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
04/12/2007 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
05/11/2007 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
05/11/2007 Keep accurate and appropriate medical records. E
05/11/2007 Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. E
06/11/2007 Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transf D
06/11/2007 Provide care in a way that keeps or builds each resident's dignity and self respect. D
06/11/2007 Make a complete assessment that covers all questions for areas that are listed in official regulations. D
06/11/2007 Give professional services that meet a professional standard of quality. D
06/11/2007 Keep accurate and appropriate medical records. D
06/27/2007 Provide services to meet the needs and preferences of each resident. D
07/06/2007 Protect the resident from a transfer or discharge that is not wanted or needed. D
07/06/2007 Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
07/30/2007 Provide care in a way that keeps or builds each resident's dignity and self respect. D
07/30/2007 Provide services to meet the needs and preferences of each resident. D
11/19/2007 Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transf D
11/19/2007 Make sure that the nursing home area is free of dangers that cause accidents. K
11/19/2007 Make sure that each resident's nutritional needs were met. D
11/30/2007 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
11/30/2007 Keep accurate and appropriate medical records. D
12/18/2007 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. D
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