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NATIONAL NURSING HOME WATCH LIST |
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VILLA ST FRANCIS: Actual Harm and/or Immediate Jeopardy |
16600 W. 126TH ST |
OLATHE KS |
TELEPHONE: 9138295201 |
TYPE OF OWNERSHIP: Non profit - Church related |
NUMBER OF BEDS / PERCENT OCCUPIED: 170 / 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 |
|---|---|
 | 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: 2 ADDITIONAL SURVEY(S) |
| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 01/29/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
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Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | E |
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Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D |
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Do a new assessment after any major change in a resident's physical or mental health. | D |
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Make a complete assessment that covers all questions for areas that are listed in official regulations. | F |
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Listen to the resident or family groups or act on their complaints or suggestions. | E |
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Keep each resident free from physical restraints, unless needed for medical treatment. | D |
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Provide needed housekeeping and maintenance. | E |
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Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | E |
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Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | E |
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Give professional services that meet a professional standard of quality. | E |
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Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | F |
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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 |
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Get proof that a nurse aide has the training and skills that the State requires. | E |
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Make sure that each resident's nutritional needs were met. | G |
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Make sure that the nursing home area is free of dangers that cause accidents. | E |
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Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion. | G |
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Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | G |
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Store, cook, and give out food in a safe and clean way. | F |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 03/23/2005 |
| Make sure there is a program to prevent/deal with mice, insects, or other pests. | F |
| 05/02/2005 |
| Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 12/26/2006 |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | D |
| 12/26/2006 |
| 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 |
| 12/26/2006 |
| Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 04/23/2008 |
| 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 | E |
| 04/23/2008 |
| 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 |
| 04/23/2008 |
| Quickly give a resident's personal money to the heads of his or her estate after the resident's death. | D |
| 04/23/2008 |
| Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. | D |
| 04/23/2008 |
| Provide needed housekeeping and maintenance. | E |
| 04/23/2008 |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| 04/23/2008 |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | E |
| 04/23/2008 |
| 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 |
| 04/23/2008 |
| Give professional services that meet a professional standard of quality. | D |
| 04/23/2008 |
| Give each resident care and services to get or keep the highest quality of life possible. | D |
| 04/23/2008 |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | D |
| 04/23/2008 |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | D |
| 04/23/2008 |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D |
| 04/23/2008 |
| Make sure that the nursing home area is free of dangers that cause accidents. | E |
| 04/23/2008 |
| 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 |
| 04/23/2008 |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | D |
| 04/23/2008 |
| Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. | F |
| 04/23/2008 |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | D |
| 04/23/2008 |
| Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture. | E |
| 04/23/2008 |
| Make sure there is a program to prevent/deal with mice, insects, or other pests. | E |
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