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NATIONAL NURSING HOME WATCH LIST

MANOR CARE MOUNTAINSIDE: Actual Harm and/or Immediate Jeopardy

1180 ROUTE 22 WEST

MOUNTAINSIDE NJ

TELEPHONE: 9086540020

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 151 / 92

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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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NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 07/16/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Provide activities to meet the needs of each resident. D
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. G
Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. F
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. E

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
06/16/2005 Comply with program requirements between annual inspections; although it corrected these problems before the most recent inspection. J
01/12/2006 Provide care in a way that keeps or builds each resident's dignity and self respect. D
01/23/2006 Give professional services that meet a professional standard of quality. D
01/23/2006 Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
03/09/2006 Keep each resident's personal and medical records private and confidential. D
09/01/2006 Make sure that the nursing home area is free of dangers that cause accidents. D
02/22/2007 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
05/03/2007 Provide care in a way that keeps or builds each resident's dignity and self respect. D
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