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NATIONAL NURSING HOME WATCH LIST |
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EMILY P. BISSELL HOSPITAL: Actual Harm and/or Immediate Jeopardy |
3000 NEWPORT GAP PIKE |
WILMINGTON DE |
TELEPHONE: 3029958482 |
TYPE OF OWNERSHIP: Government - State |
NUMBER OF BEDS / PERCENT OCCUPIED: 100 / 75 |
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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 |
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| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 09/30/2008 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D | |
| Provide activities to meet the needs of each resident. | E | |
| Have a program to keep infection from spreading. | F | |
| Store, cook, and give out food in a safe and clean way. | F | |
| Make sure that residents are well nourished. | B | |
| Make sure that the nursing home area is free of dangers that cause accidents. | D | |
| Give each resident care and services to get or keep the highest quality of life possible. | D | |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D | |
| Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. | B | |
| Provide needed housekeeping and maintenance. | B | |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | E | |
| Provide services to meet the needs and preferences of each resident. | D | |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | D | |
| Provide care for each resident in a way that keeps or builds the resident's quality of life. | E | |
| Protect each resident from all abuse, physical punishment, and being separated from others. | G | |
| Give the right treatment and services to residents who have mental or social problems adjusting. | D | |
| Allow residents to easily see the results of the nursing home's most recent survey. | C | |
| Keep temperature levels comfortable and safe. | D | |
| Keep accurate and appropriate medical records. | D | |
| Get services outside the nursing home that meet professional standards. | B | |
| Choose a doctor to be the medical director. | F | |
| Make sure there is a program to prevent/deal with mice, insects, or other pests. | F | |
| Keep each resident free from physical restraints, unless needed for medical treatment. | D | |
| 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. | B | |
| Train all employees on what to do in an emergency. | E | |
| Have a detailed, written plan for disasters and emergencies. | D |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 09/06/2006 | Make sure that the nursing home area is free of dangers that cause accidents. | G | |
| 04/11/2008 | Protect residents from mistreatment, neglect, and/or theft of personal property. | D | |
| 04/11/2008 | 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 | |
| 04/11/2008 | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D | |
| 04/11/2008 | Give each resident care and services to get or keep the highest quality of life possible. | D | |
| 04/11/2008 | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | D | |
| 04/11/2008 | Make sure that the nursing home area is free of dangers that cause accidents. | G | |
| 04/11/2008 | Keep accurate and appropriate medical records. | E | |
| 05/22/2008 | 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 | |
| 05/22/2008 | Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D | |
| 05/22/2008 | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D | |
| 05/22/2008 | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D | |
| 05/22/2008 | Keep accurate and appropriate medical records. | D |
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