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NATIONAL NURSING HOME WATCH LIST

COVINGTON MANOR HEALTH AND REHABILITAT: Actual Harm and/or Immediate Jeopardy

5700 WILKIE DRIVE

FORT WAYNE IN

TELEPHONE: 2604327556

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 149 / 73

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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:
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: 1 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 01/11/2008
RATING VIOLATION SCOPE/SEVERITY CODE
offer Flu or Pneumococal vaccine to some residents. E
Make a complete assessment that covers all questions for areas that are listed in official regulations. D
Give professional services that follow each resident's written care plan. E
Give each resident care and services to get or keep the highest quality of life possible. D
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
Make sure that the nursing home area is free of dangers that cause accidents. D
Keep accurate and appropriate medical records. E
Give each resident enough fluids to keep them healthy and prevent dehydration. 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
Make sure that residents are safe from serious medication errors. D
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
Give or get lab tests to meet the needs of residents. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
09/23/2005 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. E
09/23/2005 Keep accurate and appropriate medical records. E
11/04/2005 Give professional services that meet a professional standard of quality. E
10/11/2006 Give professional services that meet a professional standard of quality. D
08/31/2007 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
08/31/2007 Give professional services that follow each resident's written care plan. D
08/31/2007 Make sure that the nursing home area is free of dangers that cause accidents. G
02/28/2008 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
03/14/2008 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
03/14/2008 Make a complete assessment that covers all questions for areas that are listed in official regulations. G
03/14/2008 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
03/14/2008 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
03/14/2008 Give professional services that follow each resident's written care plan. D
03/14/2008 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
03/14/2008 Make sure that each resident's nutritional needs were met. G
03/14/2008 Keep accurate and appropriate medical records. D
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