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NATIONAL NURSING HOME WATCH LIST |
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BETHANY VILLAGE NURSING HOME: Actual Harm and/or Immediate Jeopardy |
3518 S SHELBY ST |
INDIANAPOLIS IN |
TELEPHONE: 3177834042 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 100 / 79 |
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| Based on the annual and complaint survey data reported by CMS as of 06/25/08 , 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: |
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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 |
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| NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED |
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| PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S) |
| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 12/07/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
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Make sure that each resident's nutritional needs were met. | D |
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Provide activities to meet the needs of each resident. | D |
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Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
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Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D |
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Give professional services that follow each resident's written care plan. | D |
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Give each resident care and services to get or keep the highest quality of life possible. | D |
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Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | D |
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Keep accurate and appropriate medical records. | E |
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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 |
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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. | E |
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Hire a qualified dietician. | D |
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Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | D |
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Store, cook, and give out food in a safe and clean way. | D |
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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 |
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Provide care in a way that keeps or builds each resident's dignity and self respect. | G |
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Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | G |
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Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | D |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 11/17/2005 |
| 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 | D |
| 11/17/2005 |
| 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 |
| 03/07/2006 |
| Try to resolve each resident's complaints quickly. | D |
| 03/07/2006 |
| 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. | D |
| 03/07/2006 |
| Store, cook, and give out food in a safe and clean way. | D |
| 06/13/2006 |
| Keep each resident's personal and medical records private and confidential. | D |
| 06/13/2006 |
| Check and update (if needed) each resident's assessment every 3 months. | D |
| 06/13/2006 |
| Give professional services that meet a professional standard of quality. | D |
| 06/13/2006 |
| Give each resident care and services to get or keep the highest quality of life possible. | E |
| 06/13/2006 |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | E |
| 06/13/2006 |
| Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 06/13/2006 |
| Make sure that staff members wash their hands when needed. | E |
| 02/08/2007 |
| 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 |
| 02/08/2007 |
| Keep each resident's personal and medical records private and confidential. | D |
| 02/08/2007 |
| 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. | D |
| 02/08/2007 |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 02/08/2007 |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| 02/08/2007 |
| Give professional services that meet a professional standard of quality. | D |
| 02/08/2007 |
| Give professional services that follow each resident's written care plan. | D |
| 02/08/2007 |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | D |
| 02/08/2007 |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D |
| 02/08/2007 |
| Make sure that each resident's nutritional needs were met. | H |
| 02/08/2007 |
| 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 |
| 02/08/2007 |
| Make sure that residents are safe from serious medication errors. | E |
| 02/08/2007 |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | D |
| 02/08/2007 |
| Keep a resident apart from the others if the resident has an infection that can spread. | E |
| 06/11/2007 |
| Make sure that residents are safe from serious medication errors. | D |
| 01/29/2008 |
| 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. | C |
| 03/06/2008 |
| Give professional services that follow each resident's written care plan. | D |
| 03/06/2008 |
| Make sure that residents are well nourished. | E |
| 04/12/2008 |
| Keep each resident free from physical restraints, unless needed for medical treatment. | J |
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