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NATIONAL NURSING HOME WATCH LIST

EVERGREEN BOZEMAN HEALTH & REHAB: Actual Harm and/or Immediate Jeopardy

321 N FIFTH AVE

BOZEMAN MT

TELEPHONE: 4065874404

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 103 / 34

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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:
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
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RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 05/03/2007
RATING VIOLATION SCOPE/SEVERITY CODE
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 E
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
Provide needed housekeeping and maintenance. D
Protect residents from mistreatment, neglect, and/or theft of personal property. G
Keep each resident free from physical restraints, unless needed for medical treatment. G
Give professional services that follow each resident's written care plan. D
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. D
Keep each resident's personal and medical records private and confidential. D
Allow residents to easily see the results of the nursing home's most recent survey. C
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
Give each resident care and services to get or keep the highest quality of life possible. G
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
Make sure that the nursing home area is free of dangers that cause accidents. G
Make sure that each resident's nutritional needs were met. G
Give each resident enough fluids to keep them healthy and prevent dehydration. D
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
post nurse staffing information. C
Make sure that staff members wash their hands when needed. D
Be administered in a way that leads to the highest possible level of well being for each resident. I
Keep accurate and appropriate medical records. E
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 D
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
Store, cook, and give out food in a safe and clean way. F
Give professional services that meet a professional standard of quality. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
07/19/2005 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 D
07/19/2005 Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
07/19/2005 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 th D
07/19/2005 Give professional services that meet a professional standard of quality. D
07/19/2005 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
07/19/2005 Make sure that the nursing home area is free of dangers that cause accidents. G
07/19/2005 Store, cook, and give out food in a safe and clean way. E
03/16/2007 Protect each resident from all abuse, physical punishment, and being separated from others. G
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