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NATIONAL NURSING HOME WATCH LIST

CONNECTICUT HEALTH OF GREENWICH: Actual Harm and/or Immediate Jeopardy

1188 KING ST

GREENWICH CT

TELEPHONE: 2035318300

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 75 / 99

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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:
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: 1 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 01/22/2008
RATING VIOLATION SCOPE/SEVERITY CODE
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care pla 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
Give each resident enough fluids to keep them healthy and prevent dehydration. G
Make sure that the nursing home area is free of dangers that cause accidents. E
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
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. C
Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. 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 G
Provide care in a way that keeps or builds each resident's dignity and self respect. D
Give professional services that meet a professional standard of quality. F
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Keep temperature levels comfortable and safe. D
Provide needed housekeeping and maintenance. E
Keep each resident's personal and medical records private and confidential. D
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. E
Put firmly secured handrails on each side of hallways. D
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. E
Give each resident care and services to get or keep the highest quality of life possible. D
Follow all laws and professional standards. C
Keep a resident apart from the others if the resident has an infection that can spread. D
Keep accurate and appropriate medical records. D
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. E
Make sure that staff members wash their hands when needed. D
Have a program to keep infection from spreading. F
Properly mark drugs and other similar products. D
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
Store, cook, and give out food in a safe and clean way. E
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. C

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
09/01/2006 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 E
09/01/2006 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
09/01/2006 Give or get special rehabilitation if in the patient's plan of care. E
09/01/2006 Choose a doctor to be the medical director. E
10/10/2007 Give professional services that follow each resident's written care plan. D
10/10/2007 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
10/10/2007 Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. D
10/10/2007 Make sure that a working call system is available in each resident's room or bathroom and bathing area. D
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