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NATIONAL NURSING HOME WATCH LIST

GOOD SAMARITAN SOCIETY NEW UNDERWOOD: Actual Harm and/or Immediate Jeopardy

412 SOUTH MADISON PO BOX 327

NEW UNDERWOOD SD

TELEPHONE: 6057546489

TYPE OF OWNERSHIP: Non profit - Church related

NUMBER OF BEDS / PERCENT OCCUPIED: 43 / 100

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Based on the annual and complaint survey data reported by CMS as of 02/06/10 , 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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RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 03/19/2009
RATING VIOLATION SCOPE/SEVERITY CODE
Have a program to keep infection from spreading. E
Give each resident enough fluids to keep them healthy and prevent dehydration. D
Make sure that the nursing home area is free of dangers that cause accidents. G
Give each resident care and services to get or keep the highest quality of life possible. G
Hire nurse aides who have completed required training and shown that they are skilled. 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
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
12/09/2008 Give professional services that meet a professional standard of quality. G
12/09/2008 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. E
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