GARDEN VALLEY RETIREMENT VILLA :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
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	G
	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
	Make sure that the nursing home area is free of dangers that cause accidents.	E
	Give each resident enough fluids to keep them healthy and prevent dehydration.	E
	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
	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	D
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
	Provide needed housekeeping and maintenance.	E
	Provide activities to meet the needs of each resident.	E
	Listen to the resident or family groups or act on their complaints or suggestions.	E
	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	D
	Provide care in a way that keeps or builds each resident's dignity and self respect.	E
	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.	J
	Keep each resident's personal and medical records private and confidential.	E
	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.	C
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	E
	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	E
	Store, cook, and give out food in a safe and clean way.	F
	Make sure that staff members wash their hands when needed.	D
	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	E
	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
	Develop/implement required procedures for the administration of immunizations.	E

RATING

VIOLATION

SCOPE/SEVERITY CODE

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

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

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.

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

Give each resident enough fluids to keep them healthy and prevent dehydration.

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.

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

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

Make a complete assessment that covers all questions for areas that are listed in official regulations.

Provide needed housekeeping and maintenance.

Provide activities to meet the needs of each resident.

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

Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.

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

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.

Keep each resident's personal and medical records private and confidential.

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.

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

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

1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.

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

Make sure that staff members wash their hands when needed.

Make sure that the nursing home area is safe, easy to use, clean and comfortable.

At least once a month, have a licensed pharmacist check the drugs that each resident takes.

Develop/implement required procedures for the administration of immunizations.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
06/06/2006	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.	E
07/25/2006	Make sure that the nursing home area is free of dangers that cause accidents.	J
07/28/2006	Provide services to meet the needs and preferences of each resident.	D
07/28/2006	Give professional services that meet a professional standard of quality.	D
07/28/2006	Give professional services that follow each resident's written care plan.	E
07/28/2006	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
07/28/2006	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
07/28/2006	Make sure that the nursing home area is free of dangers that cause accidents.	J
07/28/2006	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
07/28/2006	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	F
07/28/2006	Make sure that residents are well nourished.	D
07/28/2006	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	F
07/28/2006	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
07/28/2006	Choose a doctor to be the medical director.	E
09/07/2006	Provide written records when a resident is transferred or discharged.	D
09/07/2006	Provide enough notice before discharging or transferring a resident.	D
10/23/2006	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	E
10/23/2006	Protect residents from mistreatment, neglect, and/or theft of personal property.	F
10/23/2006	Give each resident care and services to get or keep the highest quality of life possible.	J
10/23/2006	Give each resident enough fluids to keep them healthy and prevent dehydration.	G
06/17/2008	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.	E
06/17/2008	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
06/17/2008	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	F
06/17/2008	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	F

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

06/06/2006

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.

07/25/2006

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

07/28/2006

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

07/28/2006

Give professional services that meet a professional standard of quality.

07/28/2006

Give professional services that follow each resident's written care plan.

07/28/2006

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

07/28/2006

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

07/28/2006

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

07/28/2006

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

07/28/2006

Make sure that residents are well nourished.

07/28/2006

1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.

07/28/2006

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

07/28/2006

Choose a doctor to be the medical director.

09/07/2006

Provide written records when a resident is transferred or discharged.

09/07/2006

Provide enough notice before discharging or transferring a resident.

10/23/2006

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

10/23/2006

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

10/23/2006

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

10/23/2006

Give each resident enough fluids to keep them healthy and prevent dehydration.

06/17/2008

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.

06/17/2008

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

06/17/2008

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

06/17/2008

Make sure that the nursing home area is safe, easy to use, clean and comfortable.

NATIONAL NURSING HOME WATCH LIST

GARDEN VALLEY RETIREMENT VILLA: Actual Harm and/or Immediate Jeopardy

1505 E SPRUCE ST

GARDEN CITY KS

TELEPHONE: 6202759651

TYPE OF OWNERSHIP: Non profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 115 / 60

COMPLAINT SURVEY RESULTS: SUBSTANTIATED