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NATIONAL NURSING HOME WATCH LIST

GILROY HEALTHCARE AND REHABILITATION C: Actual Harm and/or Immediate Jeopardy

8170 MURRAY AVENUE

GILROY CA

TELEPHONE: 4088429311

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 134 / 92

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Based on the annual and complaint survey data reported by CMS as of 06/25/08 , 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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NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 11/20/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Store, cook, and give out food in a safe and clean way. E
Provide care in a way that keeps or builds each resident's dignity and self respect. D
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 the care pla D
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
Protect residents from mistreatment, neglect, and/or theft of personal property. G
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 transferred or d D
Keep safe, clean and homelike surroundings. E
Quickly tell the resident's doctor the results of lab tests. D
Choose a doctor to be the medical director. D
Make a complete assessment that covers all questions for areas that are listed in official regulations. D
Make sure that a working call system is available in each resident's room or bathroom and bathing area. E
Have a program to keep infection from spreading. D
Give professional services that meet a professional standard of quality. E
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. B
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. D
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
Make sure that residents are safe from serious medication errors. D
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
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
Make sure that the nursing home area is free of dangers that cause accidents. D
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. D
Give professional services that follow each resident's written care plan. D
At least once a month, have a licensed pharmacist check the drugs that each resident takes. E

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
05/02/2005 Give each resident enough fluids to keep them healthy and prevent dehydration. G
07/11/2005 Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. D
07/11/2005 Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy. D
07/11/2005 Protect each resident from all abuse, physical punishment, and being separated from others. D
09/02/2005 Protect each resident from all abuse, physical punishment, and being separated from others. G
09/08/2005 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
12/21/2005 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
03/10/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
03/15/2006 Give professional services that meet a professional standard of quality. D
03/21/2006 Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. D
03/21/2006 Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy. D
05/18/2006 Provide care in a way that keeps or builds each resident's dignity and self respect. D
10/30/2006 Properly mark drugs and other similar products. D
11/22/2006 Provide written records when a resident is transferred or discharged. D
12/12/2006 Give the resident's legal representative the same rights as the resident. D
07/11/2007 Have enough nurses to care for every resident in a way that maximizes the resident's well being. D
10/17/2007 Provide care in a way that keeps or builds each resident's dignity and self respect. D
11/30/2007 Keep assessments completed in the preceding 15 months in the resident's active record. D
11/30/2007 Keep accurate and appropriate medical records. D
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