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NATIONAL NURSING HOME WATCH LIST |
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GOOD SAMARITAN SOCIETY - HOLSTEIN: Actual Harm and/or Immediate Jeopardy |
505 WEST SECOND STREET |
HOLSTEIN IA |
TELEPHONE: 7123684304 |
TYPE OF OWNERSHIP: Non profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 60 / 80 |
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| Based on the annual and complaint survey data reported by CMS as of 02/27/08 , 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: 11/09/2006 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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Give professional services that meet a professional standard of quality. | D |
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Follow all laws and professional standards. | B |
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Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | B |
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Give professional services that follow each resident's written care plan. | D |
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Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. | B |
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Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | G |
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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. | D |
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Make sure that the nursing home area is free of dangers that cause accidents. | D |
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Make sure that residents are well nourished. | D |
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Store, cook, and give out food in a safe and clean way. | F |
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Make sure that staff members wash their hands when needed. | D |
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Make sure that the nursing home area is safe, easy to use, clean and comfortable. | B |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 01/18/2005 |
| 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. | D |
| 01/18/2005 |
| Get proof that a nurse aide has the training and skills that the State requires. | D |
| 03/09/2005 |
| 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. | D |
| 10/25/2007 |
| Give professional services that follow each resident's written care plan. | D |
| 10/25/2007 |
| Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 10/25/2007 |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | E |
| 10/25/2007 |
| Follow all laws and professional standards. | D |
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