AUTUMN HEALTHCARE OF ZANESVILLE :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

RATING	VIOLATION	SCOPE/SEVERITY CODE
	Provide rooms that are big enough for each resident.	B
	Listen to the resident or family groups or act on their complaints or suggestions.	E
	Tell the resident completely about his or her health status.	D
	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	E
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
	Provide needed housekeeping and maintenance.	F
	Keep safe, clean and homelike surroundings.	E
	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	E
	Hire a qualified activities director.	D
	Give professional services that meet a professional standard of quality.	E
	Provide services to meet the needs and preferences of each resident.	D
	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	E
	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	H
	Provide care in a way that keeps or builds each resident's dignity and self respect.	F
	Protect residents from mistreatment, neglect, and/or theft of personal property.	E
	Provide enough notice before discharging or transferring a resident.	D
	Keep each resident's personal and medical records private and confidential.	E
	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	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
	Let the resident refuse treatment or refuse to take part in an experiment.	D
	Provide activities to meet the needs of each resident.	E
	Make sure that residents are safe from serious medication errors.	D
	Give or get dental care for each resident.	E
	Keep accurate and appropriate medical records.	D
	Make sure that nurse aides show they have the skills to be able to care for residents.	F
	1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.	F
	Properly mark drugs and other similar products.	D
	Offer other nutritional food to each resident who will not eat the food served.	D
	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	F
	Try to resolve each resident's complaints quickly.	D
	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.	E
	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	D
	Give each resident enough fluids to keep them healthy and prevent dehydration.	D
	Make sure that each resident's nutritional needs were met.	D
	Make sure that the nursing home area is free of dangers that cause accidents.	E
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	G
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
	post nurse staffing information.	C
	Keep each resident free from physical restraints, unless needed for medical treatment.	D

RATING

VIOLATION

SCOPE/SEVERITY CODE

Provide rooms that are big enough for each resident.

Listen to the resident or family groups or act on their complaints or suggestions.

Tell the resident completely about his or her health status.

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

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

Provide needed housekeeping and maintenance.

Keep safe, clean and homelike surroundings.

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

Hire a qualified activities director.

Give professional services that meet a professional standard of quality.

Provide services to meet the needs and preferences of each resident.

Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.

Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.

Provide care in a way that keeps or builds each resident's dignity and self respect.

Protect residents from mistreatment, neglect, and/or theft of personal property.

Provide enough notice before discharging or transferring a resident.

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

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.

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

Let the resident refuse treatment or refuse to take part in an experiment.

Provide activities to meet the needs of each resident.

Make sure that residents are safe from serious medication errors.

Give or get dental care for each resident.

Keep accurate and appropriate medical records.

Make sure that nurse aides show they have the skills to be able to care for residents.

1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.

Properly mark drugs and other similar products.

Offer other nutritional food to each resident who will not eat the food served.

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

Try to resolve each resident's complaints quickly.

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.

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

Give each resident enough fluids to keep them healthy and prevent dehydration.

Make sure that each resident's nutritional needs were met.

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

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

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

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

post nurse staffing information.

Keep each resident free from physical restraints, unless needed for medical treatment.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
02/16/2005	Provide activities to meet the needs of each resident.	C
02/16/2005	Give professional services that meet a professional standard of quality.	D
07/06/2005	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
07/06/2005	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
05/10/2006	Make sure that the nursing home area is free of dangers that cause accidents.	G
08/07/2006	Use a registered nurse at least 8 hours a day, 7 days a week.	D
08/11/2006	Get rid of garbage properly.	B
08/11/2006	Make sure there is a program to prevent/deal with mice, insects, or other pests.	B
10/18/2006	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
10/18/2006	Give or get lab tests to meet the needs of residents.	D
10/18/2006	Keep accurate and appropriate medical records.	D
09/21/2007	Give professional services that meet a professional standard of quality.	D
09/21/2007	Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.	D
09/21/2007	Choose a doctor to be the medical director.	D
11/29/2007	Properly mark drugs and other similar products.	B

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

02/16/2005

Provide activities to meet the needs of each resident.

02/16/2005

Give professional services that meet a professional standard of quality.

07/06/2005

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.

05/10/2006

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

08/07/2006

Use a registered nurse at least 8 hours a day, 7 days a week.

08/11/2006

Get rid of garbage properly.

08/11/2006

Make sure there is a program to prevent/deal with mice, insects, or other pests.

10/18/2006

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

10/18/2006

Keep accurate and appropriate medical records.

09/21/2007

Give professional services that meet a professional standard of quality.

09/21/2007

Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.

09/21/2007

Choose a doctor to be the medical director.

11/29/2007

Properly mark drugs and other similar products.

NATIONAL NURSING HOME WATCH LIST

AUTUMN HEALTHCARE OF ZANESVILLE: Actual Harm and/or Immediate Jeopardy

1420 AUTUMN DRIVE

ZANESVILLE OH

TELEPHONE: 7404524351

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 100 / 78

COMPLAINT SURVEY RESULTS: SUBSTANTIATED