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NATIONAL NURSING HOME WATCH LIST

HOLIDAY CARE CENTER: Actual Harm and/or Immediate Jeopardy

4 PLAZA DRIVE

TOMS RIVER NJ

TELEPHONE: 7322400900

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 180 / 96

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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: 09/27/2007
RATING VIOLATION SCOPE/SEVERITY CODE
post nurse staffing information. D
Make sure that the nursing home area is free of dangers that cause accidents. E
Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. H
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. H
Provide bedrooms that don't allow residents to see each other when privacy is needed. E
Be administered in a way that leads to the highest possible level of well being for each resident. K
Follow all laws and professional standards. F
Set up or keep a group of people to review and ensure quality. G
Provide proof that all residents' personal money which is deposited with the nursing home, is secure. D
Give professional services that meet a professional standard of quality. D
Give each resident care and services to get or keep the highest quality of life possible. H
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. G
Provide needed housekeeping and maintenance. F
Provide care in a way that keeps or builds each resident's dignity and self respect. D
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. K
Protect each resident from all abuse, physical punishment, and being separated from others. K
Have a private telephone available for use. D
Keep each resident's personal and medical records private and confidential. 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. 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 E
Let residents complain without being treated differently or badly. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
05/04/2005 Make sure that the nursing home area is free of dangers that cause accidents. D
09/27/2005 Give professional services that meet a professional standard of quality. D
05/02/2006 Store, cook, and give out food in a safe and clean way. F
07/12/2006 Provide needed housekeeping and maintenance. E
07/12/2006 Give professional services that meet a professional standard of quality. E
09/06/2006 Make sure that residents are safe from serious medication errors. D
12/08/2006 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 B
08/03/2007 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
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