MEDICALODGE OF LEAVENWORTH :Actual Harm and/or Immediate Jeopardy

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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

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

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 2 ADDITIONAL SURVEY(S)

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED

PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 2 ADDITIONAL SURVEY(S)

RATING	VIOLATION	SCOPE/SEVERITY CODE
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
	Let residents give themselves their drugs if they are able.	D
	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
	Listen to the resident or family groups or act on their complaints or suggestions.	E
	Provide activities to meet the needs of each resident.	E
	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
	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.	E
	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	D
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
	Allow residents to easily see the results of the nursing home's most recent survey.	C
	Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion.	G
	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	E
	Give the right treatment and services to residents who have mental or social problems adjusting.	D
	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
	Make sure that the nursing home area is free of dangers that cause accidents.	E
	Make sure that each resident's nutritional needs were met.	G
	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	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.	E
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	E
	Store, cook, and give out food in a safe and clean way.	F
	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
	Give or get x-rays and other tests to meet the needs of residents.	E
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D

RATING

VIOLATION

SCOPE/SEVERITY CODE

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.

Let residents give themselves their drugs if they are able.

Provide care in a way that keeps or builds each resident's dignity and self respect.

Listen to the resident or family groups or act on their complaints or suggestions.

Provide activities to meet the needs of each resident.

Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.

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

Give professional services that meet a professional standard of quality.

Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Allow residents to easily see the results of the nursing home's most recent survey.

Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion.

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.

Give the right treatment and services to residents who have mental or social problems adjusting.

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.

Make sure that the nursing home area is free of dangers that cause accidents.

Make sure that each resident's nutritional needs were met.

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

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.

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

Store, cook, and give out food in a safe and clean way.

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.

Give or get x-rays and other tests to meet the needs of residents.

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
02/16/2005	Keep each resident free from physical restraints, unless needed for medical treatment.	D
02/16/2005	Protect residents from mistreatment, neglect, and/or theft of personal property.	J
02/16/2005	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
02/16/2005	Provide services to meet the needs and preferences of each resident.	D
02/16/2005	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
03/15/2005	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
03/15/2005	Protect residents from mistreatment, neglect, and/or theft of personal property.	K
03/15/2005	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.	F
03/15/2005	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
03/15/2005	Give each resident care and services to get or keep the highest quality of life possible.	G
03/15/2005	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	H
03/15/2005	Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.	E
09/19/2005	Make sure that the nursing home area is free of dangers that cause accidents.	J
09/19/2005	Make sure that the attending doctor orders special diets.	G
12/15/2005	Let the resident refuse treatment or refuse to take part in an experiment.	E
12/15/2005	Protect residents from mistreatment, neglect, and/or theft of personal property.	K
12/15/2005	Give each resident care and services to get or keep the highest quality of life possible.	G
12/15/2005	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
12/15/2005	Give or get dental care for each resident.	G
03/02/2006	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
03/02/2006	Make sure that the nursing home area is free of dangers that cause accidents.	E
04/06/2006	Make sure that the nursing home area is free of dangers that cause accidents.	G
10/24/2007	Make sure that the nursing home area is free of dangers that cause accidents.	D

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

02/16/2005

Keep each resident free from physical restraints, unless needed for medical treatment.

02/16/2005

Protect residents from mistreatment, neglect, and/or theft of personal property.

02/16/2005

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.

02/16/2005

Provide services to meet the needs and preferences of each resident.

02/16/2005

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.

03/15/2005

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

03/15/2005

Protect residents from mistreatment, neglect, and/or theft of personal property.

03/15/2005

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.

03/15/2005

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.

03/15/2005

Give each resident care and services to get or keep the highest quality of life possible.

03/15/2005

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

03/15/2005

Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.

09/19/2005

Make sure that the nursing home area is free of dangers that cause accidents.

09/19/2005

Make sure that the attending doctor orders special diets.

12/15/2005

Let the resident refuse treatment or refuse to take part in an experiment.

12/15/2005

Protect residents from mistreatment, neglect, and/or theft of personal property.

12/15/2005

Give each resident care and services to get or keep the highest quality of life possible.

12/15/2005

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

12/15/2005

Give or get dental care for each resident.

03/02/2006

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.

03/02/2006

Make sure that the nursing home area is free of dangers that cause accidents.

04/06/2006

Make sure that the nursing home area is free of dangers that cause accidents.

10/24/2007

Make sure that the nursing home area is free of dangers that cause accidents.

NATIONAL NURSING HOME WATCH LIST

MEDICALODGE OF LEAVENWORTH: Actual Harm and/or Immediate Jeopardy

1503 OHIO ST

LEAVENWORTH KS

TELEPHONE: 9137721844

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 80 / 81

COMPLAINT SURVEY RESULTS: SUBSTANTIATED