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NATIONAL NURSING HOME WATCH LIST |
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BRITTHAVEN OF SOMERSET: Actual Harm and/or Immediate Jeopardy |
555 BOURNE AVENUE |
SOMERSET KY |
TELEPHONE: 6066797421 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 152 / 95 |
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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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| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 01/18/2008 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
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Have enough nurses to care for every resident in a way that maximizes the resident's well being. | K |
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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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Make sure that staff members wash their hands when needed. | E |
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Make sure that the nursing home area is free of dangers that cause accidents. | K |
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Keep a resident apart from the others if the resident has an infection that can spread. | D |
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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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Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | D |
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Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | H |
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Store, cook, and give out food in a safe and clean way. | F |
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Properly mark drugs and other similar products. | D |
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Have a program to keep infection from spreading. | E |
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Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | H |
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Make sure that a working call system is available in each resident's room or bathroom and bathing area. | D |
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Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | E |
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Give each resident care and services to get or keep the highest quality of life possible. | D |
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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 |
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Provide activities to meet the needs of each resident. | E |
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Provide services to meet the needs and preferences of each resident. | D |
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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 |
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Keep each resident free from physical restraints, unless needed for medical treatment. | D |
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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. | K |
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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 | J |
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Give professional services that meet a professional standard of quality. | D |
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Make a complete assessment that covers all questions for areas that are listed in official regulations. | K |
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Set up or keep a group of people to review and ensure quality. | K |
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Keep safe, clean and homelike surroundings. | J |
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1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. | K |
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Be administered in a way that leads to the highest possible level of well being for each resident. | K |
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Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. | E |
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Provide needed housekeeping and maintenance. | F |
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Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | E |
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Check and update (if needed) each resident's assessment every 3 months. | J |
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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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Give professional services that follow each resident's written care plan. | F |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 02/17/2006 |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | E |
| 04/18/2006 |
| 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 |
| 05/01/2007 |
| Give each resident care and services to get or keep the highest quality of life possible. | D |
| 08/16/2007 |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | D |
| 08/16/2007 |
| Provide needed housekeeping and maintenance. | E |
| 08/16/2007 |
| Give professional services that meet a professional standard of quality. | D |
| 08/16/2007 |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | E |
| 08/16/2007 |
| Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 08/16/2007 |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | E |
| 08/16/2007 |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | D |
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