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NATIONAL NURSING HOME WATCH LIST

LACROSSE HEALTH & REHAB CTR: Actual Harm and/or Immediate Jeopardy

210 WEST LACROSSE AVENUE

COEUR D'ALENE ID

TELEPHONE: 2086642185

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 130 / 66

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Based on the annual and complaint survey data reported by CMS as of 02/06/10 , 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: 11/07/2008
RATING VIOLATION SCOPE/SEVERITY CODE
Store, cook, and give out food in a safe and clean way. F
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 transferred or d D
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. D
Make a complete assessment that covers all questions for areas that are listed in official regulations. D
Make sure that residents are safe from serious medication errors. D
Have enough nurses to care for every resident in a way that maximizes the resident's well being. E
Provide needed housekeeping and maintenance. B
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. E
Keep each resident free from physical restraints, unless needed for medical treatment. D
Provide services to meet the needs and preferences of each resident. D
Give each resident care and services to get or keep the highest quality of life possible. G
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
Make sure that the nursing home area is safe, easy to use, clean and comfortable. C
Make sure that each resident gets help to keep vision and hearing. D
Get proof that a nurse aide has the training and skills that the State requires. D
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 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
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
Give professional services that meet a professional standard of quality. E
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
02/13/2007 Make sure that the nursing home area is free of dangers that cause accidents. D
02/13/2007 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
02/28/2008 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
02/28/2008 Make sure that the nursing home area is free of dangers that cause accidents. G
05/08/2008 Hire enough skilled workers to carry out dietary service. E
06/09/2008 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. F
10/22/2008 Protect each resident from all abuse, physical punishment, and being separated from others. G
10/22/2008 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. J
10/22/2008 Make sure that the nursing home area is free of dangers that cause accidents. G
04/15/2009 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
04/15/2009 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
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