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NATIONAL NURSING HOME WATCH LIST |
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NORTHBROOK NURSING AND REHAB: Actual Harm and/or Immediate Jeopardy |
64 NORTHBROOK WAY |
WILLITS CA |
TELEPHONE: 7074595592 |
TYPE OF OWNERSHIP: For profit - Partnership |
NUMBER OF BEDS / PERCENT OCCUPIED: 70 / 49 |
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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: |
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| RATING | DEFINITION |
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 | 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: 09/26/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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Keep each resident free from physical restraints, unless needed for medical treatment. | D |
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Provide services to meet the needs and preferences of each resident. | D |
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Store, cook, and give out food in a safe and clean way. | E |
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offer Flu or Pneumococal vaccine to some residents. | E |
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Make sure that the nursing home area is free of dangers that cause accidents. | E |
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Choose a doctor to be the medical director. | E |
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Make sure that the nursing home area is safe, easy to use, clean and comfortable. | D |
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Give the right treatment and services to residents who have mental or social problems adjusting. | G |
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Provide care in a way that keeps or builds each resident's dignity and self respect. | E |
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Give each resident care and services to get or keep the highest quality of life possible. | E |
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Keep accurate and appropriate medical records. | E |
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Keep safe, clean and homelike surroundings. | E |
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Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | E |
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Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | E |
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Keep each resident's personal and medical records private and confidential. | E |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 04/14/2005 |
| Protect each resident from all abuse, physical punishment, and being separated from others. | D |
| 04/14/2005 |
| 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 |
| 01/04/2006 |
| Protect each resident from all abuse, physical punishment, and being separated from others. | G |
| 01/04/2006 |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | G |
| 01/04/2006 |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | G |
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