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NATIONAL NURSING HOME WATCH LIST |
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GOOD SAMARITAN SOCIETY - WESTBROOK: Actual Harm and/or Immediate Jeopardy |
149 FIRST STREET, BOX 218 |
WESTBROOK MN |
TELEPHONE: 5072746155 |
TYPE OF OWNERSHIP: Non profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 40 / 98 |
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| Based on the annual and complaint survey data reported by CMS as of 02/06/10 , 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: 12/05/2008 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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Set up or keep a group of people to review and ensure quality. | C |
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Develop/implement required procedures for the administration of immunizations. | D |
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Do a new assessment after any major change in a resident's physical or mental health. | 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) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care pla | D |
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Give professional services that follow each resident's written care plan. | D |
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Keep assessments completed in the preceding 15 months in the resident's active record. | E |
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Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | D |
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Make sure that the nursing home area is free of dangers that cause accidents. | 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. | G |
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Make sure that the attending doctor orders special diets. | D |
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Properly mark drugs and other similar products. | C |
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Store, cook, and give out food in a safe and clean way. | F |
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Have enough backup water supply for important areas of the nursing home. | C |
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Make sure that each resident's nutritional needs were met. | D |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
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| 03/07/2007 |
| Make sure that the nursing home area is free of dangers that cause accidents. | G |
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