THE GOLDEN RULE HOME :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

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 3 ADDITIONAL SURVEY(S)

NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED

PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 3 ADDITIONAL SURVEY(S)

RATING	VIOLATION	SCOPE/SEVERITY CODE
	Make sure that residents are safe from serious medication errors.	E
	Make sure that the nursing home area is free of dangers that cause accidents.	H
	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	E
	Make sure that doctors visit residents regularly, as required.	E
	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	E
	Give each resident care and services to get or keep the highest quality of life possible.	H
	Use a registered nurse at least 8 hours a day, 7 days a week.	D
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	K
	Have a program to keep infection from spreading.	F
	Make sure that each resident's nutritional needs were met.	H
	Store, cook, and give out food in a safe and clean way.	E
	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	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.	E
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	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	H
	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.	E
	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	E
	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	E
	Check and update (if needed) each resident's assessment every 3 months.	E
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
	Provide needed housekeeping and maintenance.	E
	Make sure that residents are well nourished.	E
	Provide services to meet the needs and preferences of each resident.	E
	Make sure that staff members wash their hands when needed.	E
	Provide care in a way that keeps or builds each resident's dignity and self respect.	E
	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
	Keep each resident free from physical restraints, unless needed for medical treatment.	E
	Assess the resident when the resident enters the nursing home, in a timely manner.	D
	Do a new assessment after any major change in a resident's physical or mental health.	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
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	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
	Provide proof that all residents' personal money which is deposited with the nursing home, is secure.	F
	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.	F
	Keep each resident's personal and medical records private and confidential.	E

RATING

VIOLATION

SCOPE/SEVERITY CODE

Make sure that residents are safe from serious medication errors.

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

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

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

Make sure that doctors visit residents regularly, as required.

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

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

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

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

Have a program to keep infection from spreading.

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

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

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.

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

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

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.

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

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

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

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

Provide needed housekeeping and maintenance.

Make sure that residents are well nourished.

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

Make sure that staff members wash their hands when needed.

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

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

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

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

Do a new assessment after any major change in a resident's physical or mental health.

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

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

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

Provide proof that all residents' personal money which is deposited with the nursing home, is secure.

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.

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

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
05/14/2009	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
05/14/2009	Protect the resident from a transfer or discharge that is not wanted or needed.	D
05/14/2009	Provide written records when a resident is transferred or discharged.	D
05/14/2009	Provide enough notice before discharging or transferring a resident.	D
05/14/2009	Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.	D
05/14/2009	Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy.	D
05/14/2009	Keep each resident free from physical restraints, unless needed for medical treatment.	E
05/14/2009	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
05/14/2009	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
05/14/2009	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
05/14/2009	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
05/14/2009	Make sure that the nursing home area is free of dangers that cause accidents.	K
07/02/2009	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
07/02/2009	Give each resident care and services to get or keep the highest quality of life possible.	H

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

05/14/2009

Protect the resident from a transfer or discharge that is not wanted or needed.

05/14/2009

Provide written records when a resident is transferred or discharged.

05/14/2009

Provide enough notice before discharging or transferring a resident.

05/14/2009

Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.

05/14/2009

Write and use a policy that lets each resident return to the nursing home after a hospital stay or leave for therapy.

05/14/2009

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

05/14/2009

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

05/14/2009

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

05/14/2009

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

05/14/2009

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.

05/14/2009

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

07/02/2009

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

NATIONAL NURSING HOME WATCH LIST

THE GOLDEN RULE HOME: Actual Harm and/or Immediate Jeopardy

38801 HARDESTY ROAD

SHAWNEE OK

TELEPHONE: 4052737106

TYPE OF OWNERSHIP: For profit - Partnership

NUMBER OF BEDS / PERCENT OCCUPIED: 83 / 82

COMPLAINT SURVEY RESULTS: SUBSTANTIATED