GRAND OAKS CARE CENTER :Actual Harm and/or Immediate Jeopardy

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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

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

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED

PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)

RATING	VIOLATION	SCOPE/SEVERITY CODE
	Protect residents from mistreatment, neglect, and/or theft of personal property.	G
	Set up or keep a group of people to review and ensure quality.	F
	Have an agreement with at least one hospital certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.	F
	Quickly tell the resident's doctor the results of lab tests.	D
	Give professional services that meet a professional standard of quality.	D
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
	Give or get lab tests to meet the needs of residents.	E
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	E
	Provide activities to meet the needs of each resident.	D
	Provide services to meet the needs and preferences of each resident.	G
	Keep each resident free from physical restraints, unless needed for medical treatment.	D
	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.	E
	Give the resident's legal representative the same rights as the resident.	D
	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
	Keep each resident's personal and medical records private and confidential.	D
	Have a private telephone available for use.	E
	Choose a doctor to be the medical director.	G
	Provide care in a way that keeps or builds each resident's dignity and self respect.	G
	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
	Give each resident care and services to get or keep the highest quality of life possible.	K
	Be administered in a way that leads to the highest possible level of well being for each resident.	F
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
	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 the nursing home area is free of dangers that cause accidents.	E
	Make sure that each resident's nutritional needs were met.	G
	Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed.	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 residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
	Make sure that residents are safe from serious medication errors.	E
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	E
	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	F
	Provide food in a way that meets a resident's needs.	D
	Offer other nutritional food to each resident who will not eat the food served.	D
	Store, cook, and give out food in a safe and clean way.	F
	Give or get special rehabilitation if in the patient's plan of care.	D
	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	D
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	G
	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
	Make sure that staff members wash their hands when needed.	E

RATING

VIOLATION

SCOPE/SEVERITY CODE

Protect residents from mistreatment, neglect, and/or theft of personal property.

Set up or keep a group of people to review and ensure quality.

Have an agreement with at least one hospital certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

Quickly tell the resident's doctor the results of lab tests.

Give professional services that meet a professional standard of quality.

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.

Give or get lab tests to meet the needs of residents.

Make a complete assessment that covers all questions for areas that are listed in official regulations.

Provide social services for related medical problems to help each resident achieve the highest possible quality of life.

Provide activities to meet the needs of each resident.

Provide services to meet the needs and preferences of each resident.

Keep each resident free from physical restraints, unless needed for medical treatment.

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.

Give the resident's legal representative the same rights as the resident.

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

Keep each resident's personal and medical records private and confidential.

Have a private telephone available for use.

Choose a doctor to be the medical director.

Provide care in a way that keeps or builds each resident's dignity and self respect.

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

Give each resident care and services to get or keep the highest quality of life possible.

Be administered in a way that leads to the highest possible level of well being for each resident.

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

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.

Make sure that the nursing home area is free of dangers that cause accidents.

Make sure that each resident's nutritional needs were met.

Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed.

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.

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

Make sure that residents are safe from serious medication errors.

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Provide food in a way that meets a resident's needs.

Offer other nutritional food to each resident who will not eat the food served.

Store, cook, and give out food in a safe and clean way.

Give or get special rehabilitation if in the patient's plan of care.

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.

At least once a month, have a licensed pharmacist check the drugs that each resident takes.

Make sure that staff members wash their hands when needed.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
07/21/2005	Protect residents from mistreatment, neglect, and/or theft of personal property.	E
07/21/2005	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	E
09/01/2005	Provide written records when a resident is transferred or discharged.	D
09/01/2005	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
09/21/2005	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	E
09/21/2005	Give each resident care and services to get or keep the highest quality of life possible.	G
09/21/2005	Have a program to keep infection from spreading.	G
01/10/2006	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
03/08/2006	Protect residents from mistreatment, neglect, and/or theft of personal property.	G
03/08/2006	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
03/08/2006	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
05/10/2006	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.	E
08/16/2006	Give or get dental care for each resident.	D
08/16/2006	Make sure there is a program to prevent/deal with mice, insects, or other pests.	E
08/22/2007	Listen to the resident or family groups or act on their complaints or suggestions.	E
08/22/2007	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
08/22/2007	Keep accurate and appropriate medical records.	D
11/05/2007	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	E

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

07/21/2005

Protect residents from mistreatment, neglect, and/or theft of personal property.

07/21/2005

Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.

09/01/2005

Provide written records when a resident is transferred or discharged.

09/01/2005

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.

09/21/2005

Give each resident care and services to get or keep the highest quality of life possible.

09/21/2005

Have a program to keep infection from spreading.

01/10/2006

03/08/2006

Protect residents from mistreatment, neglect, and/or theft of personal property.

03/08/2006

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.

03/08/2006

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.

05/10/2006

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.

08/16/2006

Give or get dental care for each resident.

08/16/2006

Make sure there is a program to prevent/deal with mice, insects, or other pests.

08/22/2007

Listen to the resident or family groups or act on their complaints or suggestions.

08/22/2007

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.

08/22/2007

Keep accurate and appropriate medical records.

11/05/2007

1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.

NATIONAL NURSING HOME WATCH LIST

GRAND OAKS CARE CENTER: Actual Harm and/or Immediate Jeopardy

1150 OAK STREET

LAKEWOOD CO

TELEPHONE: 3032387505

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 120 / 87

COMPLAINT SURVEY RESULTS: SUBSTANTIATED