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NATIONAL NURSING HOME WATCH LIST

GOOD SAMARITAN SOCIETY-DAYTONA: Actual Harm and/or Immediate Jeopardy

325 S SEGRAVE STREET

DAYTONA BEACH FL

TELEPHONE: 3862536791

TYPE OF OWNERSHIP: Non profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 120 / 91

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Based on the annual and complaint survey data reported by CMS as of 02/27/08 , 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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RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 04/27/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Make a complete assessment that covers all questions for areas that are listed in official regulations. D
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
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
Give professional services that meet a professional standard of quality. D
Make sure that the nursing home area is free of dangers that cause accidents. D
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Protect each resident from all abuse, physical punishment, and being separated from others. 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
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
Store, cook, and give out food in a safe and clean way. F
Keep accurate and appropriate medical records. D
Keep a resident apart from the others if the resident has an infection that can spread. F
Have a program to keep infection from spreading. E
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D
Provide care in a way that keeps or builds each resident's dignity and self respect. D
Try to resolve each resident's complaints quickly. D
Provide activities to meet the needs of each resident. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
04/17/2006 Keep accurate and appropriate medical records. D
11/27/2006 Give professional services that meet a professional standard of quality. D
01/12/2007 Give professional services that follow each resident's written care plan. D
02/08/2007 Make sure that the nursing home area is free of dangers that cause accidents. D
10/17/2007 Protect each resident from all abuse, physical punishment, and being separated from others. D
10/17/2007 Provide care in a way that keeps or builds each resident's dignity and self respect. D
10/17/2007 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. D
10/17/2007 Provide activities to meet the needs of each resident. D
11/13/2007 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
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