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NATIONAL NURSING HOME WATCH LIST

AUTUMNWOOD OF LIVONIA: Actual Harm and/or Immediate Jeopardy

14900 MIDDLEBELT RD

LIVONIA MI

TELEPHONE: 7344254200

TYPE OF OWNERSHIP: For profit - Individual

NUMBER OF BEDS / PERCENT OCCUPIED: 142 / 89

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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:
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: 02/01/2008
RATING VIOLATION SCOPE/SEVERITY CODE
Have a program to keep infection from spreading. F
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
Use a registered nurse at least 8 hours a day, 7 days a week. D
Store, cook, and give out food in a safe and clean way. F
Have enough nurses to care for every resident in a way that maximizes the resident's well being. E
Make sure that staff members wash their hands when needed. E
Keep all essential equipment working safely. E
Be administered in a way that leads to the highest possible level of well being for each resident. F
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. F
Make sure that nurse aides show they have the skills to be able to care for residents. E
Choose a doctor to be the medical director. F
Keep accurate and appropriate medical records. E
Set up or keep a group of people to review and ensure quality. F
Protect residents from mistreatment, neglect, and/or theft of personal property. G
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. E
Provide activities to meet the needs of each resident. D
Hire enough skilled workers to carry out dietary service. E
Give each resident enough fluids to keep them healthy and prevent dehydration. D
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. E
Provide care in a way that keeps or builds each resident's dignity and self respect. E
Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. D
Provide services to meet the needs and preferences of each resident. E
Keep safe, clean and homelike surroundings. E
Do a new assessment after any major change in a resident's physical or mental health. D
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. 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. H
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. E
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. H
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
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 possible. D
Make sure that the nursing home area is free of dangers that cause accidents. E
Listen to the resident or family groups or act on their complaints or suggestions. E

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
05/05/2005 Protect each resident from all abuse, physical punishment, and being separated from others. E
05/24/2005 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
05/24/2005 Give professional services that meet a professional standard of quality. E
05/24/2005 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
11/16/2005 Let the resident refuse treatment or refuse to take part in an experiment. D
11/29/2005 Give each resident care and services to get or keep the highest quality of life possible. G
11/29/2005 Make sure that the nursing home area is free of dangers that cause accidents. D
11/29/2005 Follow all laws and professional standards. F
11/29/2005 Have a detailed, written plan for disasters and emergencies. F
04/06/2006 Protect each resident from all abuse, physical punishment, and being separated from others. D
05/23/2007 Make sure that the nursing home area is free of dangers that cause accidents. D
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