DESERET NURSING & REHABILITATION AT CO :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: 1 ADDITIONAL SURVEY(S)

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

PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)

RATING	VIOLATION	SCOPE/SEVERITY CODE
	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
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	F
	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	E
	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	F
	Train all employees on what to do in an emergency.	E
	Make sure that the nursing home area is free of dangers that cause accidents.	E
	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	F
	Keep accurate and appropriate medical records.	E
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
	Give each resident care and services to get or keep the highest quality of life possible.	G
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
	Provide needed housekeeping and maintenance.	E
	Provide activities to meet the needs of each resident.	D
	Protect residents from mistreatment, neglect, and/or theft of personal property.	F
	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 transferred or d	D
	Be administered in a way that leads to the highest possible level of well being for each resident.	F
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E

RATING

VIOLATION

SCOPE/SEVERITY CODE

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.

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

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

1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.

Train all employees on what to do in an emergency.

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

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

Keep accurate and appropriate medical records.

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

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

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

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

Provide needed housekeeping and maintenance.

Provide activities to meet the needs of each resident.

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

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 transferred or d

Be administered in a way that leads to the highest possible level of well being for each resident.

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

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
10/12/2004	Make sure that the nursing home area is free of dangers that cause accidents.	J
02/23/2005	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
08/10/2005	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
08/10/2005	Give professional services that meet a professional standard of quality.	E
08/10/2005	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
08/10/2005	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	E
10/13/2005	Make sure that the nursing home area is free of dangers that cause accidents.	J
01/19/2006	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
01/19/2006	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
01/19/2006	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
01/19/2006	Make sure that the nursing home area is free of dangers that cause accidents.	G
04/26/2006	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
04/26/2006	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
04/26/2006	Try to resolve each resident's complaints quickly.	E
04/26/2006	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
04/26/2006	Provide care in a way that keeps or builds each resident's dignity and self respect.	E
04/26/2006	Provide services to meet the needs and preferences of each resident.	D
04/26/2006	Provide activities to meet the needs of each resident.	E
04/26/2006	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
04/26/2006	Provide needed housekeeping and maintenance.	E
04/26/2006	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
04/26/2006	Assess the resident when the resident enters the nursing home, in a timely manner.	D
04/26/2006	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
04/26/2006	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
04/26/2006	Give professional services that follow each resident's written care plan.	E
04/26/2006	Give each resident care and services to get or keep the highest quality of life possible.	D
04/26/2006	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
04/26/2006	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
04/26/2006	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
04/26/2006	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	D
04/26/2006	Make sure that the nursing home area is free of dangers that cause accidents.	D
04/26/2006	Make sure that each resident's nutritional needs were met.	D
04/26/2006	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	E
04/26/2006	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.	D
04/26/2006	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	F
04/26/2006	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
04/26/2006	Offer other nutritional food to each resident who will not eat the food served.	D
04/26/2006	Store, cook, and give out food in a safe and clean way.	F
04/26/2006	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	C
04/26/2006	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	E
04/26/2006	Properly mark drugs and other similar products.	C
04/26/2006	Keep a resident apart from the others if the resident has an infection that can spread.	D
04/26/2006	Make sure that staff members wash their hands when needed.	E
04/26/2006	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	F
04/26/2006	Choose a doctor to be the medical director.	F
04/26/2006	Keep accurate and appropriate medical records.	F
06/14/2006	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
06/14/2006	Give each resident care and services to get or keep the highest quality of life possible.	D
06/14/2006	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
06/14/2006	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
06/14/2006	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	F
06/20/2007	Make sure that the nursing home area is free of dangers that cause accidents.	D
08/15/2007	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
08/15/2007	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.	E
08/15/2007	Provide needed housekeeping and maintenance.	E
08/15/2007	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
08/15/2007	Make sure that the nursing home area is free of dangers that cause accidents.	D
08/15/2007	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	F
08/15/2007	Make sure that residents are well nourished.	E

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

10/12/2004

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

02/23/2005

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.

08/10/2005

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.

08/10/2005

Give professional services that meet a professional standard of quality.

08/10/2005

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

08/10/2005

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

10/13/2005

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

01/19/2006

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

01/19/2006

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

01/19/2006

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

01/19/2006

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

04/26/2006

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

04/26/2006

Try to resolve each resident's complaints quickly.

04/26/2006

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.

04/26/2006

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

04/26/2006

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

04/26/2006

Provide activities to meet the needs of each resident.

04/26/2006

Provide social services for related medical problems to help each resident achieve the highest possible quality of life.

04/26/2006

Provide needed housekeeping and maintenance.

04/26/2006

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

04/26/2006

Assess the resident when the resident enters the nursing home, in a timely manner.

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

04/26/2006

Offer other nutritional food to each resident who will not eat the food served.

04/26/2006

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

04/26/2006

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

04/26/2006

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

04/26/2006

Properly mark drugs and other similar products.

04/26/2006

Keep a resident apart from the others if the resident has an infection that can spread.

04/26/2006

Make sure that staff members wash their hands when needed.

04/26/2006

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

04/26/2006

Choose a doctor to be the medical director.

04/26/2006

Keep accurate and appropriate medical records.

06/14/2006

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

06/14/2006

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

06/14/2006

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

06/14/2006

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

06/14/2006

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

06/20/2007

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

08/15/2007

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.

08/15/2007

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.

08/15/2007

Provide needed housekeeping and maintenance.

08/15/2007

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

08/15/2007

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

08/15/2007

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

08/15/2007

Make sure that residents are well nourished.

NATIONAL NURSING HOME WATCH LIST

DESERET NURSING & REHABILITATION AT CO: Actual Harm and/or Immediate Jeopardy

105 EAST COLLEGE DRIVE

COLBY KS

TELEPHONE: 7854626721

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 70 / 69

COMPLAINT SURVEY RESULTS: SUBSTANTIATED