MOORELAND HERITAGE MANOR :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: 1 ADDITIONAL SURVEY(S)

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

PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)

RATING	VIOLATION	SCOPE/SEVERITY CODE
	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
	Do a new assessment after any major change in a resident's physical or mental health.	D
	Have enough backup water supply for important areas of the nursing home.	C
	Be administered in a way that leads to the highest possible level of well being for each resident.	H
	Keep each resident free from physical restraints, unless needed for medical treatment.	E
	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
	Provide needed housekeeping and maintenance.	E
	Provide activities to meet the needs of each resident.	E
	Provide services to meet the needs and preferences of each resident.	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.	E
	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 sure that a working call system is available in each resident's room or bathroom and bathing area.	E
	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	F
	Set up or keep a group of people to review and ensure quality.	H
	Keep accurate and appropriate medical records.	E
	Keep signed and dated reports of x-rays and other tests.	D
	Keep complete, dated lab records in the resident's file.	E
	Give or get lab tests to meet the needs of residents.	E
	Choose a doctor to be the medical director.	H
	Make sure that nurse aides show they have the skills to be able to care for residents.	F
	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	G
	Keep each resident's personal and medical records private and confidential.	E
	Make sure that staff members wash their hands when needed.	F
	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	D
	Develop/implement required procedures for the administration of immunizations.	D
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	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
	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.	D
	Hire enough skilled workers to carry out dietary service.	E
	Store, cook, and give out food in a safe and clean way.	E
	Make sure that doctors visit residents regularly, as required.	E
	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	D
	Properly mark drugs and other similar products.	E
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	H
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
	Have a program to keep infection from spreading.	F
	Give each resident care and services to get or keep the highest quality of life possible.	G
	Give professional services that follow each resident's written care plan.	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 residents are well nourished.	E

RATING

VIOLATION

SCOPE/SEVERITY CODE

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.

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

Have enough backup water supply for important areas of the nursing home.

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

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

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

Provide needed housekeeping and maintenance.

Provide activities to meet the needs of each resident.

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

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.

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

Make sure that a working call system is available in each resident's room or bathroom and bathing area.

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

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

Keep accurate and appropriate medical records.

Keep signed and dated reports of x-rays and other tests.

Keep complete, dated lab records in the resident's file.

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

Choose a doctor to be the medical director.

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

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

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

Make sure that staff members wash their hands when needed.

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

Develop/implement required procedures for the administration of immunizations.

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

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 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.

Hire enough skilled workers to carry out dietary service.

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

Make sure that doctors visit residents regularly, as required.

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

Properly mark drugs and other similar products.

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.

Have a program to keep infection from spreading.

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

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

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 residents are well nourished.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
01/04/2007	Protect each resident from all abuse, physical punishment, and being separated from others.	E
01/04/2007	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
01/04/2008	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
01/04/2008	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
01/04/2008	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	D
01/28/2008	Keep each resident free from physical restraints, unless needed for medical treatment.	D
01/28/2008	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
01/28/2008	Give each resident care and services to get or keep the highest quality of life possible.	D
01/28/2008	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
01/28/2008	Use a registered nurse at least 8 hours a day, 7 days a week.	C
06/07/2008	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.	E
06/07/2008	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	E
06/07/2008	Make sure that staff members wash their hands when needed.	E
06/07/2008	Make sure that nurse aides show they have the skills to be able to care for residents.	E

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

01/04/2007

Protect each resident from all abuse, physical punishment, and being separated from others.

01/04/2007

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

01/04/2008

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.

01/04/2008

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

01/28/2008

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

01/28/2008

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

01/28/2008

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

06/07/2008

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.

06/07/2008

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

06/07/2008

Make sure that staff members wash their hands when needed.

06/07/2008

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

NATIONAL NURSING HOME WATCH LIST

MOORELAND HERITAGE MANOR: Actual Harm and/or Immediate Jeopardy

402 SOUTHEAST 6TH STREET

MOORELAND OK

TELEPHONE: 5809945570

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 62 / 71

COMPLAINT SURVEY RESULTS: SUBSTANTIATED