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

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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

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

RATING	VIOLATION	SCOPE/SEVERITY CODE
	Keep accurate and appropriate medical records.	E
	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	F
	Have enough backup water supply for important areas of the nursing home.	F
	Set up or keep a group of people to review and ensure quality.	E
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
	Develop/implement required procedures for the administration of immunizations.	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.	E
	post nurse staffing information.	C
	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.	E
	Store, cook, and give out food in a safe and clean way.	F
	Properly mark drugs and other similar products.	E
	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	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	C
	Keep each resident's personal and medical records private and confidential.	E
	Give professional services that follow each resident's written care plan.	E
	Do an assessment of the resident every year.	D
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
	Keep temperature levels comfortable and safe.	E
	Provide services to meet the needs and preferences of each resident.	E
	Provide care in a way that keeps or builds each resident's dignity and self respect.	G
	Give each resident care and services to get or keep the highest quality of life possible.	G
	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
	Keep each resident free from physical restraints, unless needed for medical treatment.	E
	Let residents give themselves their drugs if they are able.	D
	Make sure that the nursing home area is free of dangers that cause accidents.	E
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
	Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion.	E
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G

RATING

VIOLATION

SCOPE/SEVERITY CODE

Keep accurate and appropriate medical records.

1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.

Have enough backup water supply for important areas of the nursing home.

Set up or keep a group of people to review and ensure quality.

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.

Develop/implement required procedures for the administration of immunizations.

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.

post nurse staffing information.

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.

Store, cook, and give out food in a safe and clean way.

Properly mark drugs and other similar products.

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.

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

Keep each resident's personal and medical records private and confidential.

Give professional services that follow each resident's written care plan.

Do an assessment of the resident every year.

Make a complete assessment that covers all questions for areas that are listed in official regulations.

Keep temperature levels comfortable and safe.

Provide services to meet the needs and preferences of each resident.

Provide care in a way that keeps or builds each resident's dignity and self respect.

Give each resident care and services to get or keep the highest quality of life possible.

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.

Keep each resident free from physical restraints, unless needed for medical treatment.

Let residents give themselves their drugs if they are able.

Make sure that the nursing home area is free of dangers that cause accidents.

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.

Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion.

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
09/06/2006	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	D
09/06/2006	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
09/06/2006	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
01/31/2007	Provide services to meet the needs and preferences of each resident.	E
01/31/2007	Provide activities to meet the needs of each resident.	D
01/31/2007	Give each resident care and services to get or keep the highest quality of life possible.	D
01/31/2007	Keep all essential equipment working safely.	D
03/13/2007	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
04/25/2007	Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.	D
01/24/2008	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
01/24/2008	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
02/04/2008	Give each resident care and services to get or keep the highest quality of life possible.	E
02/12/2008	Let each resident choose a personal doctor.	B
02/12/2008	Give or get lab tests to meet the needs of residents.	D
02/12/2008	Quickly tell the resident's doctor the results of lab tests.	D
07/17/2008	Make sure that the nursing home area is free of dangers that cause accidents.	D
07/17/2008	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
12/29/2008	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
06/03/2009	Protect residents from mistreatment, neglect, and/or theft of personal property.	D
06/03/2009	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
06/03/2009	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.	E
06/03/2009	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
06/03/2009	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	D
06/03/2009	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	E
06/03/2009	Use a registered nurse at least 8 hours a day, 7 days a week.	E

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

09/06/2006

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.

09/06/2006

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.

01/31/2007

Provide services to meet the needs and preferences of each resident.

01/31/2007

Provide activities to meet the needs of each resident.

01/31/2007

Give each resident care and services to get or keep the highest quality of life possible.

01/31/2007

Keep all essential equipment working safely.

03/13/2007

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.

04/25/2007

Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.

01/24/2008

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.

01/24/2008

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.

02/04/2008

Give each resident care and services to get or keep the highest quality of life possible.

02/12/2008

Let each resident choose a personal doctor.

02/12/2008

Give or get lab tests to meet the needs of residents.

02/12/2008

Quickly tell the resident's doctor the results of lab tests.

07/17/2008

Make sure that the nursing home area is free of dangers that cause accidents.

07/17/2008

12/29/2008

At least once a month, have a licensed pharmacist check the drugs that each resident takes.

06/03/2009

Protect residents from mistreatment, neglect, and/or theft of personal property.

06/03/2009

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.

06/03/2009

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.

06/03/2009

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

06/03/2009

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.

06/03/2009

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

06/03/2009

Use a registered nurse at least 8 hours a day, 7 days a week.

NATIONAL NURSING HOME WATCH LIST

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

1290 E MICHIGAN HWY

ROSCOMMON MI

TELEPHONE: 9892758936

TYPE OF OWNERSHIP: For profit - Limited liability company

NUMBER OF BEDS / PERCENT OCCUPIED: 118 / 85

COMPLAINT SURVEY RESULTS: SUBSTANTIATED