MAPLE LAWN NURSING HOME :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

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED

PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)

RATING	VIOLATION	SCOPE/SEVERITY CODE
	Keep assessments completed in the preceding 15 months in the resident's active record.	D
	Make sure that each resident's nutritional needs were met.	G
	Make sure that the nursing home area is free of dangers that cause accidents.	H
	Give the right treatment and services to residents who have mental or social problems adjusting.	D
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	K
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
	Give professional services that follow each resident's written care plan.	D
	Assess the resident when the resident enters the nursing home, in a timely manner.	D
	Choose a doctor to be the medical director.	I
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
	Give professional services that meet a professional standard of quality.	E
	Give each resident a special diet to help when there is a nutritional problem.	G
	Provide food in a way that meets a resident's needs.	D
	Set up or keep a group of people to review and ensure quality.	I
	Give each resident care and services to get or keep the highest quality of life possible.	K
	Store, cook, and give out food in a safe and clean way.	F
	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	F
	1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.	F
	Follow all laws and professional standards.	F
	Be administered in a way that leads to the highest possible level of well being for each resident.	I
	Make sure that a working call system is available in each resident's room or bathroom and bathing area.	E
	Make sure that staff members wash their hands when needed.	F
	Have a program to keep infection from spreading.	F
	Properly mark drugs and other similar products.	C
	Hire a qualified dietician.	F
	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
	Give each resident enough fluids to keep them healthy and prevent dehydration.	G
	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.	C
	Do a new assessment after any major change in a resident's physical or mental health.	D
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
	Make sure that nurse aides show they have the skills to be able to care for residents.	F
	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	F
	offer Flu or Pneumococal vaccine to some residents.	F
	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
	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	E
	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
	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.	F
	Let each resident choose whether to manage his or her own money or deposit it with the nursing home.	F
	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	F
	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	E
	Provide activities to meet the needs of each resident.	D
	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	F
	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
	Provide services to meet the needs and preferences of each resident.	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	H
	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	C
	Let the resident refuse treatment or refuse to take part in an experiment.	D
	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
	Provide needed housekeeping and maintenance.	D
	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
	Quickly give a resident's personal money to the heads of his or her estate after the resident's death.	D
	Bill properly: Charged resident for items that Medicare or Medicaid pays for.	F
	Keep each resident's personal and medical records private and confidential.	E
	Allow residents to easily see the results of the nursing home's most recent survey.	C
	Have a private telephone available for use.	C
	Allow married couples to share a room.	D
	Keep each resident free from physical restraints, unless needed for medical treatment.	E
	Provide care for each resident in a way that keeps or builds the resident's quality of life.	D

RATING

VIOLATION

SCOPE/SEVERITY CODE

Keep assessments completed in the preceding 15 months in the resident's active record.

Make sure that each resident's nutritional needs were met.

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

Give the right treatment and services to residents who have mental or social problems adjusting.

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

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

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

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

Assess the resident when the resident enters the nursing home, in a timely manner.

Choose a doctor to be the medical director.

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

Give professional services that meet a professional standard of quality.

Give each resident a special diet to help when there is a nutritional problem.

Provide food in a way that meets a resident's needs.

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

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

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

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

1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.

Follow all laws and professional standards.

Be administered in a way that leads to the highest possible level of well being for each resident.

Make sure that a working call system is available in each resident's room or bathroom and bathing area.

Make sure that staff members wash their hands when needed.

Have a program to keep infection from spreading.

Properly mark drugs and other similar products.

Hire a qualified dietician.

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.

Give each resident enough fluids to keep them healthy and prevent dehydration.

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.

Do a new assessment after any major change in a resident's physical or mental health.

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

Make sure that nurse aides show they have the skills to be able to care for residents.

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

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

offer Flu or Pneumococal vaccine to some residents.

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.

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

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

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.

Let each resident choose whether to manage his or her own money or deposit it with the nursing home.

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

Provide social services for related medical problems to help each resident achieve the highest possible quality of life.

Provide activities to meet the needs of each resident.

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

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.

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

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

Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.

Let the resident refuse treatment or refuse to take part in an experiment.

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

Provide needed housekeeping and maintenance.

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

Quickly give a resident's personal money to the heads of his or her estate after the resident's death.

Bill properly: Charged resident for items that Medicare or Medicaid pays for.

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

Allow residents to easily see the results of the nursing home's most recent survey.

Have a private telephone available for use.

Allow married couples to share a room.

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

Provide care for each resident in a way that keeps or builds the resident's quality of life.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
02/22/2005	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	G
02/22/2005	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
02/22/2005	Make sure that the nursing home area is free of dangers that cause accidents.	G
09/18/2006	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	D

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

02/22/2005

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

02/22/2005

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

09/18/2006

Make sure that the nursing home area is safe, easy to use, clean and comfortable.

NATIONAL NURSING HOME WATCH LIST

MAPLE LAWN NURSING HOME: Actual Harm and/or Immediate Jeopardy

1410 WEST LINE STREET, PO BOX 232

PALMYRA MO

TELEPHONE: 5737692213

TYPE OF OWNERSHIP: Government - County

NUMBER OF BEDS / PERCENT OCCUPIED: 140 / 84

COMPLAINT SURVEY RESULTS: SUBSTANTIATED