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NATIONAL NURSING HOME WATCH LIST

JULIA MANOR HEALTH CARE CENTER: Actual Harm and/or Immediate Jeopardy

333 MILL STREET

HAGERSTOWN MD

TELEPHONE: 3016658700

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 130 / 84

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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: 10/30/2006
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. D
Let the resident refuse treatment or refuse to take part in an experiment. G
Have a program to keep infection from spreading. D
Keep each resident free from physical restraints, unless needed for medical treatment. D
Keep each resident free from drugs that restrain them, unless needed for medical treatment. 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. D
Give each resident care and services to get or keep the highest quality of life possible. D
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 free of dangers that cause accidents. D
Store, cook, and give out food in a safe and clean way. E
Properly mark drugs and other similar products. D
Give or get lab tests to meet the needs of residents. D
Give lab tests only when the attending doctor ordered them. D
Give or get x-rays and other tests to meet the needs of residents. D
Keep accurate and appropriate medical records. D
Make sure that residents are safe from serious medication errors. D
At least once a month, have a licensed pharmacist check the drugs that each resident takes. D
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
11/19/2004 Let the resident refuse treatment or refuse to take part in an experiment. G
05/31/2005 Keep safe, clean and homelike surroundings. B
05/31/2005 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
05/31/2005 Give professional services that meet a professional standard of quality. D
05/31/2005 Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possibl D
05/31/2005 Make sure that the nursing home area is free of dangers that cause accidents. D
05/31/2005 Make sure that residents are safe from serious medication errors. D
05/31/2005 Have enough outside airflow. B
11/17/2005 Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. D
01/20/2006 Allow residents to easily see the results of the nursing home's most recent survey. B
01/20/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
01/20/2006 Provide care in a way that keeps or builds each resident's dignity and self respect. B
01/20/2006 Give professional services that meet a professional standard of quality. E
01/20/2006 Give each resident care and services to get or keep the highest quality of life possible. E
01/20/2006 Make sure that the nursing home area is free of dangers that cause accidents. G
01/20/2006 Make sure that residents are well nourished. E
01/20/2006 Provide food in a way that meets a resident's needs. E
01/20/2006 Make sure that the attending doctor orders special diets. D
01/20/2006 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. B
01/20/2006 Give or get special rehabilitation if in the patient's plan of care. D
04/26/2006 Let the resident refuse treatment or refuse to take part in an experiment. D
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 G
04/26/2006 Keep each resident free from physical restraints, unless needed for medical treatment. D
04/26/2006 Keep each resident free from drugs that restrain them, unless needed for medical treatment. 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. D
04/26/2006 Give each resident care and services to get or keep the highest quality of life possible. E
04/26/2006 Make sure that the nursing home area is free of dangers that cause accidents. E
04/26/2006 Make sure that residents are safe from serious medication errors. D
04/26/2006 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. D
04/26/2006 Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
04/26/2006 Make sure that a working call system is available in each resident's room or bathroom and bathing area. B
04/26/2006 Make sure that the nursing home area is safe, easy to use, clean and comfortable. D
04/26/2006 Have enough backup water supply for important areas of the nursing home. D
04/26/2006 Give or get lab tests to meet the needs of residents. E
09/19/2007 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 D
09/19/2007 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 th D
09/19/2007 Give each resident care and services to get or keep the highest quality of life possible. E
09/19/2007 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. D
09/19/2007 Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. D
10/19/2007 Keep accurate and appropriate medical records. D
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