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NATIONAL NURSING HOME WATCH LIST

MAIN LINE NURSING AND REHABILITATION C: Actual Harm and/or Immediate Jeopardy

283 EAST LANCASTER AVENUE

MALVERN PA

TELEPHONE: 6102964170

TYPE OF OWNERSHIP: Non profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 184 / 97

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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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COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
09/01/2005 Make sure that the nursing home area is free of dangers that cause accidents. D
11/08/2005 Keep accurate and appropriate medical records. D
11/15/2005 Give professional services that meet a professional standard of quality. D
05/23/2006 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
05/23/2006 Give each resident care and services to get or keep the highest quality of life possible. D
05/23/2006 Make sure that the nursing home area is free of dangers that cause accidents. D
05/23/2006 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
05/23/2006 Give or get lab tests to meet the needs of residents. D
05/30/2006 Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
08/24/2006 Make sure that the nursing home area is free of dangers that cause accidents. G
11/29/2006 Let the resident or the resident's representative look at all records. D
11/29/2006 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
11/29/2006 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
03/01/2007 Give each resident care and services to get or keep the highest quality of life possible. D
08/07/2007 Try to resolve each resident's complaints quickly. E
08/07/2007 Give professional services that follow each resident's written care plan. D
11/29/2007 Give each resident care and services to get or keep the highest quality of life possible. G
12/03/2007 Have a program to keep infection from spreading. D
02/26/2008 Provide services to meet the needs and preferences of each resident. D
02/26/2008 Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. D
03/25/2008 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
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