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NATIONAL NURSING HOME WATCH LIST

CHALET VILLAGE HEALTH AND REHABILITATI: Actual Harm and/or Immediate Jeopardy

1065 PARKWAY ST

BERNE IN

TELEPHONE: 2605892127

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 80 / 53

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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: 2 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 08/16/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Give or get lab tests to meet the needs of residents. D
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 the care pla D
Give professional services that meet a professional standard of quality. G
Give professional services that follow each resident's written care plan. D
Give each resident enough fluids to keep them healthy and prevent dehydration. G
Keep accurate and appropriate medical records. D
At least once a month, have a licensed pharmacist check the drugs that each resident takes. D
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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
Provide services to meet the needs and preferences of each resident. D
Make sure that the nursing home area is free of dangers that cause accidents. G
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. G
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
Give each resident care and services to get or keep the highest quality of life possible. D
Make a complete assessment that covers all questions for areas that are listed in official regulations. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
10/03/2005 Give professional services that meet a professional standard of quality. G
10/03/2005 Make sure that the nursing home area is free of dangers that cause accidents. G
10/03/2005 Keep accurate and appropriate medical records. D
11/08/2007 Provide services to meet the needs and preferences of each resident. D
11/08/2007 Provide needed housekeeping and maintenance. D
11/08/2007 Give professional services that follow each resident's written care plan. D
01/29/2008 Make a complete assessment that covers all questions for areas that are listed in official regulations. D
01/29/2008 Give professional services that follow each resident's written care plan. G
01/29/2008 Use a registered nurse at least 8 hours a day, 7 days a week. F
01/29/2008 Give or get lab tests to meet the needs of residents. D
04/23/2008 Give professional services that follow each resident's written care plan. E
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