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NATIONAL NURSING HOME WATCH LIST

GUARDIAN CARE NURSING & REHAB: Actual Harm and/or Immediate Jeopardy

2500 WEST CHURCH STREET

ORLANDO FL

TELEPHONE: 4072955371

TYPE OF OWNERSHIP: Non profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 120 / 88

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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: 05/17/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Give professional services that meet a professional standard of quality. 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
Provide care in a way that keeps or builds each resident's dignity and self respect. D
Keep accurate and appropriate medical records. D
Provide needed housekeeping and maintenance. E
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Let residents give themselves their drugs if they are able. D
Make sure that the nursing home area is safe, easy to use, clean and comfortable. D
Provide activities to meet the needs of each resident. D
Keep assessments completed in the preceding 15 months in the resident's active record. D
Get services outside the nursing home that meet professional standards. D
Have a program to keep infection from spreading. D
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
Give each resident care and services to get or keep the highest quality of life possible. G
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. D
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. D
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
Make sure that the nursing home area is free of dangers that cause accidents. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
08/30/2005 Get proof that a nurse aide has the training and skills that the State requires. D
03/19/2007 Protect each resident from all abuse, physical punishment, and being separated from others. G
03/19/2007 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. G
03/19/2007 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. G
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