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NATIONAL NURSING HOME WATCH LIST |
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GOOD SAMARITAN SOCIETY SHAKAMAK RETIRE: Actual Harm and/or Immediate Jeopardy |
800 E OHIO ST |
JASONVILLE IN |
TELEPHONE: 8126652226 |
TYPE OF OWNERSHIP: Non profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 75 / 60 |
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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: |
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| RATING | DEFINITION |
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 | 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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COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 11/13/2007 |
| 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 |
| 02/13/2008 |
| Make sure that nurse aides show they have the skills to be able to care for residents. | G |
| 12/03/2008 |
| Give professional services that follow each resident's written care plan. | D |
| 12/03/2008 |
| Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 12/03/2008 |
| Use a registered nurse at least 8 hours a day, 7 days a week. | D |
| 12/03/2008 |
| Make sure that nurse aides show they have the skills to be able to care for residents. | D |
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