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NATIONAL NURSING HOME WATCH LIST

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 / 81

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Based on the annual and complaint survey data reported by CMS as of 07/19/09 , 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: 2 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 01/16/2009
RATING VIOLATION SCOPE/SEVERITY CODE
Make a complete assessment that covers all questions for areas that are listed in official regulations. D
Provide clean bed and bath linens that are in good condition. D
Provide services to meet the needs and preferences of each resident. D
Keep each resident's personal and medical records private and confidential. E
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
Provide care in a way that keeps or builds each resident's dignity and self respect. D
Give professional services that follow each resident's written care plan. E
Make sure that the nursing home area is free of dangers that cause accidents. G
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
Properly mark drugs and other similar products. E
Make sure that staff members wash their hands when needed. D
Give or get lab tests to meet the needs of residents. D
Store, cook, and give out food in a safe and clean way. E

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
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
04/30/2009 Make a complete assessment that covers all questions for areas that are listed in official regulations. D
04/30/2009 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
04/30/2009 Give professional services that follow each resident's written care plan. D
04/30/2009 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
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