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NATIONAL NURSING HOME WATCH LIST |
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COUNTRYSIDE MANOR HEALTH & LIVING COMM: Actual Harm and/or Immediate Jeopardy |
205 MARINE DRIVE |
ANDERSON IN |
TELEPHONE: 7656494558 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 128 / 89 |
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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: 3 ADDITIONAL SURVEY(S) |
| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 04/18/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
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Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. | E |
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Make sure that staff members wash their hands when needed. | E |
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Store, cook, and give out food in a safe and clean way. | E |
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Make sure that the nursing home area is free of dangers that cause accidents. | G |
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Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D |
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Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | G |
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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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Give professional services that meet a professional standard of quality. | E |
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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. | G |
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Protect residents from mistreatment, neglect, and/or theft of personal property. | G |
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Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. | E |
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Keep each resident's personal and medical records private and confidential. | E |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 03/28/2005 |
| Give professional services that meet a professional standard of quality. | D |
| 11/21/2005 |
| Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | D |
| 01/26/2006 |
| Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 04/06/2006 |
| Protect each resident from all abuse, physical punishment, and being separated from others. | G |
| 04/06/2006 |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | E |
| 11/17/2006 |
| 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 |
| 11/17/2006 |
| Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 11/17/2006 |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | E |
| 02/01/2007 |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | D |
| 02/01/2007 |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| 02/01/2007 |
| 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 |
| 02/01/2007 |
| Properly mark drugs and other similar products. | D |
| 02/19/2007 |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| 02/19/2007 |
| Give professional services that meet a professional standard of quality. | D |
| 02/19/2007 |
| Get services outside the nursing home that meet professional standards. | D |
| 02/19/2007 |
| Keep accurate and appropriate medical records. | D |
| 10/02/2007 |
| 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 |
| 11/05/2007 |
| Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 01/23/2008 |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | G |
| 01/23/2008 |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| 01/23/2008 |
| 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. | G |
| 01/23/2008 |
| Keep accurate and appropriate medical records. | D |
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