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NATIONAL NURSING HOME WATCH LIST |
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GOOD SAMARITAN SOCIETY - DAVENPORT: Actual Harm and/or Immediate Jeopardy |
700 WAVERLY ROAD |
DAVENPORT IA |
TELEPHONE: 5633241651 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 211 / 82 |
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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 |
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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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| NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED |
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| PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S) |
| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 12/21/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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Make sure that the nursing home area is safe, easy to use, clean and comfortable. | E |
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Store, cook, and give out food in a safe and clean way. | E |
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post nurse staffing information. | B |
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Give each resident care and services to get or keep the highest quality of life possible. | G |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 02/08/2007 |
| Keep accurate and appropriate medical records. | D |
| 12/21/2007 |
| Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 03/05/2008 |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | B |
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