HARRISBURG CARE CENTER :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

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED

PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)

RATING	VIOLATION	SCOPE/SEVERITY CODE
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
	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.	E
	Make sure that the attending doctor orders special diets.	E
	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 the nursing home area is free of dangers that cause accidents.	D
	Make sure that each resident's nutritional needs were met.	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
	offer Flu or Pneumococal vaccine to some residents.	E
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	D
	Give or get dental care for each resident.	G
	Provide rooms that are big enough for each resident.	B
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
	Provide needed housekeeping and maintenance.	B
	Keep each resident's personal and medical records private and confidential.	E
	Give professional services that follow each resident's written care plan.	D
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D

RATING

VIOLATION

SCOPE/SEVERITY CODE

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

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.

Make sure that the attending doctor orders special diets.

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.

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

Make sure that each resident's nutritional needs were met.

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.

offer Flu or Pneumococal vaccine to some residents.

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

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

Give or get dental care for each resident.

Provide rooms that are big enough for each resident.

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

Provide needed housekeeping and maintenance.

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

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

Make a complete assessment that covers all questions for areas that are listed in official regulations.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
06/15/2005	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
06/15/2005	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
06/15/2005	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.	D
08/25/2005	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	B
09/08/2005	Have a program to keep infection from spreading.	D
03/13/2006	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
03/13/2006	Keep each resident's personal and medical records private and confidential.	D
03/13/2006	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
03/13/2006	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
03/13/2006	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 possibl	D
06/15/2006	Protect each resident from all abuse, physical punishment, and being separated from others.	K
06/15/2006	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.	K
06/15/2006	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	L
06/15/2006	Make a complete assessment that covers all questions for areas that are listed in official regulations.	G
06/15/2006	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
06/15/2006	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
06/15/2006	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
06/15/2006	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
06/15/2006	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	E
06/15/2006	Be administered in a way that leads to the highest possible level of well being for each resident.	L
09/12/2006	Make sure that the nursing home area is free of dangers that cause accidents.	D
09/18/2006	Give professional services that follow each resident's written care plan.	D
12/21/2006	Keep each resident free from physical restraints, unless needed for medical treatment.	J
12/21/2006	Protect each resident from all abuse, physical punishment, and being separated from others.	J
12/21/2006	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.	L
12/21/2006	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	L
07/05/2007	Make sure that the nursing home area is free of dangers that cause accidents.	D
07/05/2007	Keep all essential equipment working safely.	D
08/22/2007	Train all employees on what to do in an emergency.	F
11/21/2007	Give each resident care and services to get or keep the highest quality of life possible.	J
11/21/2007	Make sure that the attending doctor orders special diets.	J
12/10/2007	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 th	D
12/10/2007	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
01/10/2008	Make sure that the nursing home area is free of dangers that cause accidents.	G
01/10/2008	Keep all essential equipment working safely.	G

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

06/15/2005

Make a complete assessment that covers all questions for areas that are listed in official regulations.

06/15/2005

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

06/15/2005

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.

08/25/2005

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

09/08/2005

Have a program to keep infection from spreading.

03/13/2006

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

03/13/2006

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

03/13/2006

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.

03/13/2006

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 possibl

06/15/2006

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

06/15/2006

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.

06/15/2006

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.

06/15/2006

Make a complete assessment that covers all questions for areas that are listed in official regulations.

06/15/2006

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

06/15/2006

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

06/15/2006

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.

06/15/2006

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

06/15/2006

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

09/12/2006

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

09/18/2006

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

12/21/2006

Keep each resident free from physical restraints, unless needed for medical treatment.

12/21/2006

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

12/21/2006

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.

12/21/2006

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.

07/05/2007

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

07/05/2007

Keep all essential equipment working safely.

08/22/2007

Train all employees on what to do in an emergency.

11/21/2007

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

11/21/2007

Make sure that the attending doctor orders special diets.

12/10/2007

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 th

12/10/2007

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

01/10/2008

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

01/10/2008

Keep all essential equipment working safely.

NATIONAL NURSING HOME WATCH LIST

HARRISBURG CARE CENTER: Actual Harm and/or Immediate Jeopardy

1000 WEST SLOAN STREET

HARRISBURG IL

TELEPHONE: 6182523905

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 68 / 46

COMPLAINT SURVEY RESULTS: SUBSTANTIATED