GOLDEN LIVINGCENTER - SCOTTSBLUFF :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: 3 ADDITIONAL SURVEY(S)

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

PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 3 ADDITIONAL SURVEY(S)

RATING	VIOLATION	SCOPE/SEVERITY CODE
	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	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
	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	D
	Keep assessments completed in the preceding 15 months in the resident's active record.	B
	Set up or keep a group of people to review and ensure quality.	G
	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	D
	Make sure that the nursing home area is free of dangers that cause accidents.	D
	Give each resident care and services to get or keep the highest quality of life possible.	E
	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 residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	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	D
	Provide activities to meet the needs of each resident.	D
	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	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	E
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	G
	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
	Develop a plan with the resident and family for the resident's care after leaving the nursing home.	D
	Make sure that staff members wash their hands when needed.	E
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
	Give professional services that meet a professional standard of quality.	E
	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	E
	Have enough outside airflow.	E
	Keep accurate and appropriate medical records.	E
	Keep a resident apart from the others if the resident has an infection that can spread.	D
	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
	Make sure that residents are safe from serious medication errors.	D
	post nurse staffing information.	C
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	E
	offer Flu or Pneumococal vaccine to some residents.	D
	Give professional services that follow each resident's written care plan.	D

RATING

VIOLATION

SCOPE/SEVERITY CODE

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

Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.

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

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

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

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.

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

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

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.

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

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

Provide activities to meet the needs of each resident.

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

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

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

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.

Develop a plan with the resident and family for the resident's care after leaving the nursing home.

Make sure that staff members wash their hands when needed.

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

Give professional services that meet a professional standard of quality.

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

Have enough outside airflow.

Keep accurate and appropriate medical records.

Keep a resident apart from the others if the resident has an infection that can spread.

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

Make sure that residents are safe from serious medication errors.

post nurse staffing information.

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.

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

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
07/20/2005	Make sure that the nursing home area is free of dangers that cause accidents.	D
10/18/2005	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
10/18/2005	Make sure that staff members wash their hands when needed.	D
03/20/2006	Make sure that the nursing home area is free of dangers that cause accidents.	D
06/14/2006	Give or get lab tests to meet the needs of residents.	D
07/27/2006	Keep each resident's personal and medical records private and confidential.	D
07/27/2006	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
07/27/2006	Make sure that the nursing home area is free of dangers that cause accidents.	D
07/27/2006	Keep accurate and appropriate medical records.	D
10/30/2006	Give professional services that meet a professional standard of quality.	D
10/30/2006	Give each resident care and services to get or keep the highest quality of life possible.	G
10/30/2006	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possibl	G
10/30/2006	Make sure that residents are safe from serious medication errors.	D
11/20/2006	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
12/13/2006	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
12/13/2006	Protect each resident from all abuse, physical punishment, and being separated from others.	D
12/13/2006	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
12/13/2006	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
12/13/2006	Give professional services that meet a professional standard of quality.	D
12/13/2006	Make sure that the nursing home area is free of dangers that cause accidents.	D
12/13/2006	Keep accurate and appropriate medical records.	D
06/19/2007	Let the resident or the resident's representative look at all records.	D
06/19/2007	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
06/19/2007	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
06/19/2007	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
06/19/2007	Give each resident care and services to get or keep the highest quality of life possible.	G
06/19/2007	Make sure that the nursing home area is free of dangers that cause accidents.	G
06/19/2007	Give or get special rehabilitation if in the patient's plan of care.	D
06/19/2007	Set up or keep a group of people to review and ensure quality.	G
08/29/2007	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
08/29/2007	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
08/29/2007	Make sure that the nursing home area is free of dangers that cause accidents.	G
09/06/2007	Give each resident care and services to get or keep the highest quality of life possible.	D
11/28/2007	Protect each resident from all abuse, physical punishment, and being separated from others.	E

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

07/20/2005

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

10/18/2005

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

10/18/2005

Make sure that staff members wash their hands when needed.

03/20/2006

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

06/14/2006

Give or get lab tests to meet the needs of residents.

07/27/2006

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

07/27/2006

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

07/27/2006

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

07/27/2006

Keep accurate and appropriate medical records.

10/30/2006

Give professional services that meet a professional standard of quality.

10/30/2006

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

10/30/2006

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possibl

10/30/2006

Make sure that residents are safe from serious medication errors.

11/20/2006

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.

12/13/2006

Protect each resident from all abuse, physical punishment, and being separated from others.

12/13/2006

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

12/13/2006

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

12/13/2006

Give professional services that meet a professional standard of quality.

12/13/2006

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

12/13/2006

Keep accurate and appropriate medical records.

06/19/2007

Let the resident or the resident's representative look at all records.

06/19/2007

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.

06/19/2007

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

06/19/2007

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

06/19/2007

Give or get special rehabilitation if in the patient's plan of care.

06/19/2007

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

08/29/2007

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.

08/29/2007

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

08/29/2007

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

09/06/2007

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

11/28/2007

Protect each resident from all abuse, physical punishment, and being separated from others.

NATIONAL NURSING HOME WATCH LIST

GOLDEN LIVINGCENTER - SCOTTSBLUFF: Actual Harm and/or Immediate Jeopardy

111 WEST 36TH STREET

SCOTTSBLUFF NE

TELEPHONE: 3086352019

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 160 / 77

COMPLAINT SURVEY RESULTS: SUBSTANTIATED