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NATIONAL NURSING HOME WATCH LIST

PAULLINA CARE CENTER: Actual Harm and/or Immediate Jeopardy

423 NORTH WILLOW

PAULLINA IA

TELEPHONE: 7124483455

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 37 / 62

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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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COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
03/04/2008 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 h D
03/04/2008 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 G
03/04/2008 Give the right treatment and services to residents who have mental or social problems adjusting. J
03/04/2008 post nurse staffing information. D
03/04/2008 Get proof that a nurse aide has the training and skills that the State requires. D
03/04/2008 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. E
03/04/2008 Have licensed, certified, or registered staff to give needed services. E
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