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NATIONAL NURSING HOME WATCH LIST |
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MARGARET ANNA CUSACK CARE CENTER: Actual Harm and/or Immediate Jeopardy |
537 PAVONIA AVENUE |
JERSEY CITY NJ |
TELEPHONE: 2016538300 |
TYPE OF OWNERSHIP: Non profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 139 / 97 |
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| RATING | DEFINITION |
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| 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 |
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| PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S) |
| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 03/19/2009 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | K | |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | D | |
| Protect each resident from all abuse, physical punishment, and being separated from others. | K | |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D | |
| Try to resolve each resident's complaints quickly. | D | |
| Get rid of garbage properly. | D | |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | K | |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D | |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | E | |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | E | |
| 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 possible. | D | |
| 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. | 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. | D | |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | E | |
| Make sure that residents are well nourished. | E | |
| Make sure that the attending doctor orders special diets. | F | |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | K | |
| Be administered in a way that leads to the highest possible level of well being for each resident. | K | |
| 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | E | |
| Choose a doctor to be the medical director. | K | |
| Set up or keep a group of people to review and ensure quality. | K | |
| Keep each resident's personal and medical records private and confidential. | D | |
| Let the resident refuse treatment or refuse to take part in an experiment. | D | |
| Honor all of the resident's rights as a resident of the nursing home and as a citizen or resident of the United States. | F |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
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| 08/22/2007 | Give each resident care and services to get or keep the highest quality of life possible. | D | |
| 01/23/2008 | Make sure that the nursing home area is free of dangers that cause accidents. | G | |
| 09/02/2008 | 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 | |
| 09/02/2008 | Make sure that the nursing home area is free of dangers that cause accidents. | G |
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