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NATIONAL NURSING HOME WATCH LIST

WINKLER COURT: Actual Harm and/or Immediate Jeopardy

3250 WINKLER EXTENSION

FORT MYERS FL

TELEPHONE: 2399394993

TYPE OF OWNERSHIP: Non profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 120 / 90

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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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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: 09/13/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Provide food in a way that meets a resident's needs. D
Keep all essential equipment working safely. F
Give or get dental care for each resident. D
Give or get special rehabilitation if in the patient's plan of care. G
Store, cook, and give out food in a safe and clean way. F
Provide special eating equipment and utensils for each resident who needs them. E
Make sure that residents are well nourished. E
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 a special diet to help when there is a nutritional problem. D
Make sure that the nursing home area is free of dangers that cause accidents. E
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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
Give professional services that follow each resident's written care plan. D
Give professional services that meet a professional standard of quality. E
Provide services to meet the needs and preferences of each resident. 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
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

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
02/07/2005 Provide enough notice before discharging or transferring a resident. D
02/07/2005 Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. D
02/07/2005 Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. D
02/09/2005 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. E
03/31/2005 Give professional services that meet a professional standard of quality. E
05/17/2005 Make sure that the nursing home area is free of dangers that cause accidents. G
06/20/2006 Have enough nurses to care for every resident in a way that maximizes the resident's well being. D
06/20/2006 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. E
08/25/2006 Provide services to meet the needs and preferences of each resident. D
08/25/2006 Give each resident care and services to get or keep the highest quality of life possible. D
08/25/2006 Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
08/25/2006 Make sure that each resident's nutritional needs were met. D
08/25/2006 Use a registered nurse at least 8 hours a day, 7 days a week. D
08/25/2006 Make sure that residents are well nourished. F
08/25/2006 Make sure that the attending doctor orders special diets. D
08/25/2006 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. E
08/25/2006 Provide special eating equipment and utensils for each resident who needs them. D
11/21/2006 Provide enough notice before discharging or transferring a resident. D
11/21/2006 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
11/21/2006 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. D
11/21/2006 Make sure that the attending doctor orders special diets. E
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