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NATIONAL NURSING HOME WATCH LIST |
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COUNTRYSIDE NURSING AND REHABILITATION: Actual Harm and/or Immediate Jeopardy |
120 BASELINE RD |
SOUTH HAVEN MI |
TELEPHONE: 2696378411 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 101 / 90 |
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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: |
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| RATING | DEFINITION |
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 | 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 |
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| PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 2 ADDITIONAL SURVEY(S) |
| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 07/13/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | E |
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Give or get lab tests to meet the needs of residents. | D |
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Make sure that nurse aides show they have the skills to be able to care for residents. | E |
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1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | E |
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Have a program to keep infection from spreading. | E |
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Make sure that each resident's nutritional needs were met. | D |
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At least once a month, have a licensed pharmacist check the drugs that each resident takes. | D |
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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 |
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Store, cook, and give out food in a safe and clean way. | E |
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Properly mark drugs and other similar products. | D |
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Hire a qualified dietician. | D |
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Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | E |
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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 |
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Give each resident care and services to get or keep the highest quality of life possible. | E |
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Provide care in a way that keeps or builds each resident's dignity and self respect. | E |
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Make sure that the nursing home area is free of dangers that cause accidents. | G |
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Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | E |
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Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | D |
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Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | G |
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Provide needed housekeeping and maintenance. | E |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
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| 11/17/2004 |
| Make sure that the nursing home area is free of dangers that cause accidents. | E |
| 11/17/2004 |
| Use a registered nurse at least 8 hours a day, 7 days a week. | D |
| 08/05/2005 |
| Protect each resident from all abuse, physical punishment, and being separated from others. | D |
| 08/05/2005 |
| 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 |
| 08/05/2005 |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | E |
| 08/05/2005 |
| Keep accurate and appropriate medical records. | E |
| 04/26/2006 |
| Protect each resident from all abuse, physical punishment, and being separated from others. | E |
| 04/26/2006 |
| Make sure that the nursing home area is free of dangers that cause accidents. | G |
| 10/11/2007 |
| Protect each resident from all abuse, physical punishment, and being separated from others. | D |
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