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NATIONAL NURSING HOME WATCH LIST

MADONNA MANOR: Actual Harm and/or Immediate Jeopardy

2344 AMSTERDAM ROAD

VILLA HILLS KY

TELEPHONE: 8593413981

TYPE OF OWNERSHIP: Non profit - Church related

NUMBER OF BEDS / PERCENT OCCUPIED: 35 / 97

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Based on the annual and complaint survey data reported by CMS as of 02/27/08 , 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:
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: 02/01/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Provide needed housekeeping and maintenance. E
Keep each resident free from physical restraints, unless needed for medical treatment. D
Make a complete assessment that covers all questions for areas that are listed in official regulations. D
Do a new assessment after any major change in a resident's physical or mental health. D
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 E
Give professional services that meet a professional standard of quality. D
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 E
Give professional services that follow each resident's written care plan. G
Give each resident care and services to get or keep the highest quality of life possible. D
Set up or keep a group of people to review and ensure quality. E
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. C
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
Have licensed, certified, or registered staff to give needed services. F

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
10/05/2007 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. D
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