UNIVERSITY HILLS HEALTH & REHA :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

RATING	VIOLATION	SCOPE/SEVERITY CODE
	Give enough notice to the resident before changing the resident's room or roommate.	D
	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	B
	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	D
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	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
	Provide care in a way that keeps or builds each resident's dignity and self respect.	E
	Keep safe, clean and homelike surroundings.	D
	Protect the resident from a transfer or discharge that is not wanted or needed.	D
	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
	Give professional services that meet a professional standard of quality.	G
	Keep each resident's personal and medical records private and confidential.	D
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
	Let residents give themselves their drugs if they are able.	D
	Provide care for each resident in a way that keeps or builds the resident's quality of life.	G
	Protect residents from mistreatment, neglect, and/or theft of personal property.	D
	Protect each resident from all abuse, physical punishment, and being separated from others.	G
	Provide needed housekeeping and maintenance.	E
	Get rid of garbage properly.	D
	Set up or keep a group of people to review and ensure quality.	I
	Follow all laws and professional standards.	E
	Be administered in a way that leads to the highest possible level of well being for each resident.	I
	Make sure there is a program to prevent/deal with mice, insects, or other pests.	E
	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	D
	Provide bedrooms that don't allow residents to see each other when privacy is needed.	F
	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	F
	Keep a resident apart from the others if the resident has an infection that can spread.	D
	Have a program to keep infection from spreading.	G
	Give each resident care and services to get or keep the highest quality of life possible.	G
	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
	Give professional services that follow each resident's written care plan.	D
	Store, cook, and give out food in a safe and clean way.	F
	Offer other nutritional food to each resident who will not eat the food served.	D
	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	D
	Make sure that residents are safe from serious medication errors.	G
	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	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 residents with reduced range of motion get proper treatment and services to increase range of motion.	E
	Make sure that the nursing home area is free of dangers that cause accidents.	G
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
	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.	E
	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	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

RATING

VIOLATION

SCOPE/SEVERITY CODE

Give enough notice to the resident before changing the resident's room or roommate.

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.

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

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

Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.

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

Keep safe, clean and homelike surroundings.

Protect the resident from a transfer or discharge that is not wanted or needed.

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.

Give professional services that meet a professional standard of quality.

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

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

Let residents give themselves their drugs if they are able.

Provide care for each resident in a way that keeps or builds the resident's quality of life.

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

Protect each resident from all abuse, physical punishment, and being separated from others.

Provide needed housekeeping and maintenance.

Get rid of garbage properly.

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

Follow all laws and professional standards.

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

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

Make sure that a working call system is available in each resident's room or bathroom and bathing area.

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.

Keep a resident apart from the others if the resident has an infection that can spread.

Have a program to keep infection from spreading.

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

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.

Give professional services that follow each resident's written care plan.

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

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

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

Make sure that residents are safe from serious medication errors.

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

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 residents with reduced range of motion get proper treatment and services to increase range of motion.

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

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

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.

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

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.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
03/11/2006	Follow all laws and professional standards.	D
11/07/2006	Provide needed housekeeping and maintenance.	D
05/07/2007	Provide services to meet the needs and preferences of each resident.	E
03/11/2008	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	G
03/11/2008	Protect residents from mistreatment, neglect, and/or theft of personal property.	G
03/11/2008	Give professional services that meet a professional standard of quality.	G
06/25/2008	Provide services to meet the needs and preferences of each resident.	D
06/25/2008	Keep accurate and appropriate medical records.	D
11/12/2008	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
11/12/2008	Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy.	D
11/12/2008	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.	D
11/12/2008	Give professional services that meet a professional standard of quality.	D

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

03/11/2006

Follow all laws and professional standards.

11/07/2006

Provide needed housekeeping and maintenance.

05/07/2007

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

03/11/2008

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

03/11/2008

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

03/11/2008

Give professional services that meet a professional standard of quality.

06/25/2008

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

06/25/2008

Keep accurate and appropriate medical records.

11/12/2008

Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy.

11/12/2008

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.

11/12/2008

Give professional services that meet a professional standard of quality.

NATIONAL NURSING HOME WATCH LIST

UNIVERSITY HILLS HEALTH & REHA: Actual Harm and/or Immediate Jeopardy

10040 HILLVIEW ROAD

PENSACOLA FL

TELEPHONE: 8504740570

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 120 / 92

COMPLAINT SURVEY RESULTS: SUBSTANTIATED