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NATIONAL NURSING HOME WATCH LIST

PAVILLIONS AT FORRESTAL , THE: Actual Harm and/or Immediate Jeopardy

5000 WINDROW DRIVE

PRINCETON NJ

TELEPHONE: 6099871221

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 180 / 74

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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: 03/15/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. E
Keep each resident free from drugs that restrain them, unless needed for medical treatment. K
Keep each resident's personal and medical records private and confidential. E
Give each resident a special diet to help when there is a nutritional problem. E
Provide care in a way that keeps or builds each resident's dignity and self respect. E
Provide needed housekeeping and maintenance. E
Get proof that a nurse aide has the training and skills that the State requires. F
Make a complete assessment that covers all questions for areas that are listed in official regulations. E
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Give professional services that meet a professional standard of quality. E
Give each resident care and services to get or keep the highest quality of life possible. E
Be administered in a way that leads to the highest possible level of well being for each resident. K
Properly mark drugs and other similar products. E
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. F
Get services outside the nursing home that meet professional standards. D
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. E
Store, cook, and give out food in a safe and clean way. F
Make sure that the attending doctor orders special diets. E
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. K
At least once a month, have a licensed pharmacist check the drugs that each resident takes. E
Set up or keep a group of people to review and ensure quality. K
Have a program to keep infection from spreading. F
Make sure that staff members wash their hands when needed. D
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. K
Train all employees on what to do in an emergency. E
Make sure that the nursing home area is free of dangers that cause accidents. E
Choose a doctor to be the medical director. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
04/20/2005 Give each resident care and services to get or keep the highest quality of life possible. G
04/20/2005 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
09/12/2005 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
12/30/2005 Keep clinical information safe, so that it will not be lost, destroyed or used by the wrong person. B
08/24/2006 Keep accurate and appropriate medical records. B
01/02/2007 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
09/21/2007 Make sure that a working call system is available in each resident's room or bathroom and bathing area. B
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