CARE LIVING CENTER OF EDMOND :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
	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	G
	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
	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	G
	Give each resident enough fluids to keep them healthy and prevent dehydration.	G
	Provide clean bed and bath linens that are in good condition.	H
	Make sure that each resident's nutritional needs were met.	H
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
	Give professional services that follow each resident's written care plan.	D
	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.	G
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	E
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	K
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	H
	Give each resident care and services to get or keep the highest quality of life possible.	K
	Keep assessments completed in the preceding 15 months in the resident's active record.	E
	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care pla	E
	Make sure that the nursing home area is free of dangers that cause accidents.	K
	Provide care in a way that keeps or builds each resident's dignity and self respect.	H
	Keep each resident free from physical restraints, unless needed for medical treatment.	E
	Send and promptly deliver unopened mail to residents.	C
	Properly mark drugs and other similar products.	E
	Allow residents to easily see the results of the nursing home's most recent survey.	C
	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
	Let residents complain without being treated differently or badly.	F
	Keep each resident's personal and medical records private and confidential.	E
	Assess the resident when the resident enters the nursing home, in a timely manner.	D
	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	F
	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
	Listen to the resident or family groups or act on their complaints or suggestions.	F
	Provide services to meet the needs and preferences of each resident.	D
	Provide activities to meet the needs of each resident.	F
	Provide needed housekeeping and maintenance.	E
	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
	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.	H
	Check and update (if needed) each resident's assessment every 3 months.	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
	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
	Make sure that residents are safe from serious medication errors.	E
	Set up or keep a group of people to review and ensure quality.	L
	Keep accurate and appropriate medical records.	E
	Give or get lab tests to meet the needs of residents.	E
	Make sure that nurse aides show they have the skills to be able to care for residents.	E
	Be administered in a way that leads to the highest possible level of well being for each resident.	L
	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	F
	Have a program to keep infection from spreading.	F
	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
	Make sure that doctors visit residents regularly, as required.	D
	Store, cook, and give out food in a safe and clean way.	F
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	L
	Develop/implement required procedures for the administration of immunizations.	D
	Make sure that staff members wash their hands when needed.	E

RATING

VIOLATION

SCOPE/SEVERITY CODE

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.

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.

Provide clean bed and bath linens that are in good condition.

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

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

Give professional services that follow each resident's written care plan.

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.

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

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.

Give each resident care and services to get or keep the highest quality of life possible.

Keep assessments completed in the preceding 15 months in the resident's active record.

1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care pla

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

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

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

Send and promptly deliver unopened mail to residents.

Properly mark drugs and other similar products.

Allow residents to easily see the results of the nursing home's most recent survey.

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

Let residents complain without being treated differently or badly.

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

Assess the resident when the resident enters the nursing home, in a timely manner.

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.

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

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

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

Provide activities to meet the needs of each resident.

Provide needed housekeeping and maintenance.

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

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.

Check and update (if needed) each resident's assessment every 3 months.

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

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.

Make sure that residents are safe from serious medication errors.

Set up or keep a group of people to review and ensure quality.

Keep accurate and appropriate medical records.

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

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

Be administered in a way that leads to the highest possible level of well being for each resident.

Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.

Have a program to keep infection from spreading.

At least once a month, have a licensed pharmacist check the drugs that each resident takes.

Make sure that doctors visit residents regularly, as required.

Store, cook, and give out food in a safe and clean way.

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

Develop/implement required procedures for the administration of immunizations.

Make sure that staff members wash their hands when needed.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
04/10/2006	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
04/10/2006	Give each resident care and services to get or keep the highest quality of life possible.	G
07/10/2006	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
07/10/2006	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
07/10/2006	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
07/10/2006	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.	D
07/10/2006	Give each resident care and services to get or keep the highest quality of life possible.	G
07/10/2006	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	E
07/10/2006	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 possibl	E
07/10/2006	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
08/16/2006	Provide needed housekeeping and maintenance.	E
11/19/2007	Let the resident refuse treatment or refuse to take part in an experiment.	G
11/19/2007	Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home.	D
11/19/2007	Give each resident care and services to get or keep the highest quality of life possible.	D
11/19/2007	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
11/19/2007	Have a program to keep infection from spreading.	D
11/19/2007	Give or get lab tests to meet the needs of residents.	D
12/10/2008	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
12/10/2008	Keep each resident's personal and medical records private and confidential.	D
12/10/2008	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
12/10/2008	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
12/10/2008	Check and update (if needed) each resident's assessment every 3 months.	D
12/10/2008	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
12/10/2008	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update th	D
12/10/2008	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
12/10/2008	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	D
12/10/2008	Make sure that the nursing home area is free of dangers that cause accidents.	E
12/10/2008	Make sure that doctors visit residents regularly, as required.	D
12/10/2008	Make sure that staff members wash their hands when needed.	D
01/23/2009	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

04/10/2006

Give each resident care and services to get or keep the highest quality of life possible.

07/10/2006

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.

07/10/2006

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.

07/10/2006

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.

07/10/2006

Give each resident care and services to get or keep the highest quality of life possible.

07/10/2006

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

07/10/2006

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.

08/16/2006

Provide needed housekeeping and maintenance.

11/19/2007

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

11/19/2007

Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home.

11/19/2007

Give each resident care and services to get or keep the highest quality of life possible.

11/19/2007

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

11/19/2007

Have a program to keep infection from spreading.

11/19/2007

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

12/10/2008

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

12/10/2008

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

12/10/2008

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

12/10/2008

Check and update (if needed) each resident's assessment every 3 months.

12/10/2008

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

12/10/2008

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

12/10/2008

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.

12/10/2008

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

12/10/2008

Make sure that doctors visit residents regularly, as required.

12/10/2008

Make sure that staff members wash their hands when needed.

01/23/2009

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

NATIONAL NURSING HOME WATCH LIST

CARE LIVING CENTER OF EDMOND: Actual Harm and/or Immediate Jeopardy

1100 EAST 9TH STREET

EDMOND OK

TELEPHONE: 4053415617

TYPE OF OWNERSHIP: For profit - Individual

NUMBER OF BEDS / PERCENT OCCUPIED: 60 / 90

COMPLAINT SURVEY RESULTS: SUBSTANTIATED