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NATIONAL NURSING HOME WATCH LIST |
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GOOD SAMARITAN SOCIETY - MARY JANE BRO: Actual Harm and/or Immediate Jeopardy |
110 SOUTH WALNUT AVENUE |
LUVERNE MN |
TELEPHONE: 5072832375 |
TYPE OF OWNERSHIP: Non profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 60 / 93 |
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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: |
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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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| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 09/13/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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Make sure that the nursing home area is safe, easy to use, clean and comfortable. | B |
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Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
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Check and update (if needed) each resident's assessment every 3 months. | D |
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Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
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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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Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | B |
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Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
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Make sure that the nursing home area is free of dangers that cause accidents. | D |
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Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | G |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
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