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NATIONAL NURSING HOME WATCH LIST

GRAND VALLEY COUNTRY MANOR: Actual Harm and/or Immediate Jeopardy

5165 STATE ROUTE 322

WINDSOR OH

TELEPHONE: 4402725600

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 62 / 58

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Based on the annual and complaint survey data reported by CMS as of 06/25/08 , 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: 04/12/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Provide activities to meet the needs of each resident. D
Make sure that the nursing home area is free of dangers that cause accidents. G
Provide care in a way that keeps or builds each resident's dignity and self respect. D
Provide needed housekeeping and maintenance. C
Give professional services that meet a professional standard of quality. E
Keep accurate and appropriate medical records. B
Put firmly secured handrails on each side of hallways. E
Make sure that the nursing home area is safe, easy to use, clean and comfortable. E
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. B
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
Store, cook, and give out food in a safe and clean way. C
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. C

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
02/13/2006 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
08/09/2006 Provide activities to meet the needs of each resident. E
08/09/2006 Give professional services that follow each resident's written care plan. E
08/09/2006 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
08/28/2006 Give each resident care and services to get or keep the highest quality of life possible. D
09/19/2006 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 E
09/19/2006 Provide needed housekeeping and maintenance. E
09/19/2006 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
10/26/2006 Provide social services for related medical problems to help each resident achieve the highest possible quality of life. E
10/26/2006 Keep accurate and appropriate medical records. D
12/07/2006 Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. F
12/07/2006 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
12/07/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
12/07/2006 Provide needed housekeeping and maintenance. D
12/07/2006 Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. E
12/07/2006 Give each resident care and services to get or keep the highest quality of life possible. E
12/07/2006 Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. E
12/07/2006 Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. D
12/07/2006 Use a registered nurse at least 8 hours a day, 7 days a week. F
01/04/2007 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
01/04/2007 Provide clean bed and bath linens that are in good condition. E
01/04/2007 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
01/04/2007 Give each resident care and services to get or keep the highest quality of life possible. D
01/09/2008 Keep safe, clean and homelike surroundings. C
01/09/2008 Provide needed housekeeping and maintenance. D
02/21/2008 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
03/18/2008 Make sure that the nursing home area is free of dangers that cause accidents. D
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