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NATIONAL NURSING HOME WATCH LIST

SHADY GROVE ADVENTIST NSG & REHAB CTR: Actual Harm and/or Immediate Jeopardy

9701 MEDICAL CENTER DRIVE

ROCKVILLE MD

TELEPHONE: 3013151900

TYPE OF OWNERSHIP: Non profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 120 / 92

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Based on the annual and complaint survey data reported by CMS as of 07/19/09 , 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: 03/31/2008
RATING VIOLATION SCOPE/SEVERITY CODE
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. G
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
Make sure that the nursing home area is safe, easy to use, clean and comfortable. B
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 G
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. B
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Give professional services that meet a professional standard of quality. E
Give each resident care and services to get or keep the highest quality of life possible. E
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 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%. E
Tell the resident completely about his or her health status. E
Train all employees on what to do in an emergency. C
Keep accurate and appropriate medical records. B
Make sure that residents are safe from serious medication errors. D
Develop/implement required procedures for the administration of immunizations. E
At least once a month, have a licensed pharmacist check the drugs that each resident takes. D
Give or get lab tests to meet the needs of residents. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
04/05/2006 Give professional services that meet a professional standard of quality. D
04/05/2006 Give each resident care and services to get or keep the highest quality of life possible. D
04/05/2006 Make sure that the nursing home area is free of dangers that cause accidents. D
09/05/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
01/02/2007 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. D
01/02/2007 Make sure that a working call system is available in each resident's room or bathroom and bathing area. C
08/09/2007 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
06/12/2008 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
09/03/2008 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
09/03/2008 Give each resident care and services to get or keep the highest quality of life possible. D
09/03/2008 Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. D
09/03/2008 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
09/03/2008 Keep accurate and appropriate medical records. D
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