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NATIONAL NURSING HOME WATCH LIST

WEXFORD HOUSE, THE: Actual Harm and/or Immediate Jeopardy

2421 JOHN B DENNIS HIGHWAY

KINGSPORT TN

TELEPHONE: 4232883988

TYPE OF OWNERSHIP: Non profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 174 / 90

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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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RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 08/29/2007
RATING VIOLATION SCOPE/SEVERITY CODE
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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
Give professional services that meet a professional standard of quality. D
Make sure that the nursing home area is free of dangers that cause accidents. D
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
Properly mark drugs and other similar products. F
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 D
Make sure that residents are safe from serious medication errors. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
05/24/2005 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
11/18/2005 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. D
04/21/2006 Give or get lab tests to meet the needs of residents. D
07/07/2006 Give each resident care and services to get or keep the highest quality of life possible. D
11/03/2006 Let the resident refuse treatment or refuse to take part in an experiment. G
11/03/2006 Protect residents from mistreatment, neglect, and/or theft of personal property. G
11/03/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. G
01/11/2007 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
05/21/2007 Protect each resident from all abuse, physical punishment, and being separated from others. D
05/29/2007 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
05/29/2007 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
05/29/2007 Give the right treatment and services to residents who have mental or social problems adjusting. D
06/20/2007 Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
06/20/2007 Give the right treatment and services to residents who have mental or social problems adjusting. D
06/20/2007 Make sure that the nursing home area is free of dangers that cause accidents. D
06/20/2007 Keep accurate and appropriate medical records. D
11/15/2007 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
11/15/2007 Make sure that the nursing home area is free of dangers that cause accidents. D
02/27/2008 Make a complete assessment that covers all questions for areas that are listed in official regulations. D
02/27/2008 Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
02/27/2008 Keep accurate and appropriate medical records. D
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