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NATIONAL NURSING HOME WATCH LIST

QUABBIN VALLEY HEALTHCARE: Actual Harm and/or Immediate Jeopardy

821 DANIEL SHAYS HIGHWAY

ATHOL MA

TELEPHONE: 9782493717

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 142 / 94

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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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NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 05/11/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. G
Provide rooms that are big enough for each resident. B
Make sure that doctors visit residents regularly, as required. E
Give each resident enough fluids to keep them healthy and prevent dehydration. G
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. G
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. E
Provide care in a way that keeps or builds each resident's dignity and self respect. E
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 that each resident gets help to keep vision and hearing. D
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. D
Give professional services that follow each resident's written care plan. G
Get services outside the nursing home that meet professional standards. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
04/05/2006 Give professional services that follow each resident's written care plan. D
06/28/2006 Keep a resident apart from the others if the resident has an infection that can spread. D
06/30/2006 Give each resident care and services to get or keep the highest quality of life possible. D
08/15/2007 Give professional services that follow each resident's written care plan. D
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