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NATIONAL NURSING HOME WATCH LIST

PALISADE LIVING CENTER: Actual Harm and/or Immediate Jeopardy

151 EAST 3RD, PO BOX 190

PALISADE CO

TELEPHONE: 9704647500

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 91 / 65

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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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NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 2 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 12/17/2008
RATING VIOLATION SCOPE/SEVERITY CODE
Keep accurate and appropriate medical records. D
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. 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. D
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
Provide needed housekeeping and maintenance. 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
Give professional services that meet a professional standard of quality. D
Give each resident care and services to get or keep the highest quality of life possible. G
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. D
Make sure that each resident's nutritional needs were met. G
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
Store, cook, and give out food in a safe and clean way. F
Have a program to keep infection from spreading. F
At least once a month, have a licensed pharmacist check the drugs that each resident takes. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
09/08/2006 Protect residents from mistreatment, neglect, and/or theft of personal property. G
09/08/2006 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
09/08/2006 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
09/08/2006 Make sure that the nursing home area is free of dangers that cause accidents. D
09/08/2006 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. G
09/08/2006 Follow all laws and professional standards. D
10/05/2006 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
10/05/2006 Provide enough notice before discharging or transferring a resident. D
10/05/2006 Provide social services for related medical problems to help each resident achieve the highest possible quality of life. G
10/05/2006 Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. B
10/05/2006 Give professional services that meet a professional standard of quality. D
10/05/2006 Give each resident care and services to get or keep the highest quality of life possible. G
10/05/2006 Make sure that the nursing home area is free of dangers that cause accidents. G
10/05/2006 Give each resident enough fluids to keep them healthy and prevent dehydration. G
09/27/2007 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 D
09/27/2007 Try to resolve each resident's complaints quickly. D
09/27/2007 Keep each resident free from physical restraints, unless needed for medical treatment. D
09/27/2007 Provide activities to meet the needs of each resident. E
09/27/2007 Keep temperature levels comfortable and safe. E
09/27/2007 Give professional services that meet a professional standard of quality. D
09/27/2007 Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. D
09/27/2007 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. E
09/27/2007 Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
09/27/2007 Make sure that the nursing home area is free of dangers that cause accidents. G
09/27/2007 Make sure that each resident's nutritional needs were met. D
09/27/2007 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
09/27/2007 Have enough nurses to care for every resident in a way that maximizes the resident's well being. E
03/27/2008 Keep each resident's personal and medical records private and confidential. D
03/27/2008 Keep each resident free from physical restraints, unless needed for medical treatment. D
03/27/2008 Protect residents from mistreatment, neglect, and/or theft of personal property. G
03/27/2008 Provide services to meet the needs and preferences of each resident. D
03/27/2008 Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
03/27/2008 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
03/27/2008 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
03/27/2008 Give each resident care and services to get or keep the highest quality of life possible. G
03/27/2008 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. E
03/27/2008 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. G
03/27/2008 Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
03/27/2008 Have a program to keep infection from spreading. D
03/27/2008 Make sure that staff members wash their hands when needed. D
03/27/2008 Give or get lab tests to meet the needs of residents. D
03/27/2008 Keep signed and dated reports of x-rays and other tests. D
06/16/2009 Give each resident care and services to get or keep the highest quality of life possible. E
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