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NATIONAL NURSING HOME WATCH LIST

MARLINDA IMPERIAL CONV HOSP: Actual Harm and/or Immediate Jeopardy

150 BELLEFONTAINE

PASADENA CA

TELEPHONE: 6267961103

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 130 / 78

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Based on the annual and complaint survey data reported by CMS as of 02/06/10 , 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: 10/20/2008
RATING VIOLATION SCOPE/SEVERITY CODE
Make a complete assessment that covers all questions for areas that are listed in official regulations. E
Tell the resident completely about his or her health status. D
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
Keep accurate and appropriate medical records. E
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 E
Try to resolve each resident's complaints quickly. D
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
Keep each resident free from drugs that restrain them, unless needed for medical treatment. D
Provide services to meet the needs and preferences of each resident. E
Provide activities to meet the needs of each resident. D
At least once a month, have a licensed pharmacist check the drugs that each resident takes. D
Provide needed housekeeping and maintenance. E
Make sure that staff members wash their hands when needed. E
Keep a resident apart from the others if the resident has an infection that can spread. E
Properly mark drugs and other similar products. E
Give lab tests only when the attending doctor ordered them. D
Provide special eating equipment and utensils for each resident who needs them. D
Provide food in a way that meets a resident's needs. D
Make sure that residents are safe from serious medication errors. K
Make sure that each resident's nutritional needs were met. D
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
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. E
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. E
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. E
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. K
Have a program to keep infection from spreading. E
Get doctor orders for the resident's immediate care when admitted. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
11/09/2006 Keep each resident's personal and medical records private and confidential. D
11/09/2006 Provide services to meet the needs and preferences of each resident. D
11/09/2006 Have a program to keep infection from spreading. D
11/09/2006 Keep accurate and appropriate medical records. B
04/27/2007 Provide needed housekeeping and maintenance. E
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