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NATIONAL NURSING HOME WATCH LIST |
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APPLE VALLEY CONVALESCENT HOSP: Actual Harm and/or Immediate Jeopardy |
1035 GRAVENSTEIN HWY SOUTH |
SEBASTOPOL CA |
TELEPHONE: 7078237675 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 95 / 97 |
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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: |
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| 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 |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 10/28/2004 |
| Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. | D |
| 10/28/2004 |
| Provide enough notice before discharging or transferring a resident. | D |
| 12/15/2004 |
| Give each resident care and services to get or keep the highest quality of life possible. | D |
| 06/02/2005 |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | E |
| 07/14/2005 |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 07/14/2005 |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| 07/14/2005 |
| Develop a plan with the resident and family for the resident's care after leaving the nursing home. | D |
| 07/14/2005 |
| Give each resident care and services to get or keep the highest quality of life possible. | D |
| 07/14/2005 |
| Have a program to keep infection from spreading. | D |
| 07/14/2005 |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | D |
| 07/14/2005 |
| Keep accurate and appropriate medical records. | B |
| 10/12/2005 |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | D |
| 10/12/2005 |
| Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 03/13/2006 |
| Protect each resident from all abuse, physical punishment, and being separated from others. | G |
| 04/25/2006 |
| Try to resolve each resident's complaints quickly. | E |
| 04/25/2006 |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| 04/25/2006 |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | E |
| 04/25/2006 |
| Keep accurate and appropriate medical records. | D |
| 08/17/2006 |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | G |
| 08/17/2006 |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | G |
| 08/17/2006 |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | G |
| 02/27/2007 |
| 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 | G |
| 02/27/2007 |
| Make sure that the nursing home area is free of dangers that cause accidents. | G |
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