GREENHILLS HEALTH AND REHABILITATION C :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

RATING	VIOLATION	SCOPE/SEVERITY CODE
	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
	Listen to the resident or family groups or act on their complaints or suggestions.	F
	Store, cook, and give out food in a safe and clean way.	E
	Have enough backup water supply for important areas of the nursing home.	F
	Make sure that nurse aides show they have the skills to be able to care for residents.	H
	Keep complete, dated lab records in the resident's file.	D
	Keep accurate and appropriate medical records.	D
	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	G
	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.	G
	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	D
	Keep all essential equipment working safely.	F
	Provide activities to meet the needs of each resident.	E
	Give professional services that meet a professional standard of quality.	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	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	D
	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
	Check and update (if needed) each resident's assessment every 3 months.	D
	Do a new assessment after any major change in a resident's physical or mental health.	D
	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
	Provide needed housekeeping and maintenance.	D
	Be administered in a way that leads to the highest possible level of well being for each resident.	H
	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	H
	post nurse staffing information.	E
	Make sure that residents are well nourished.	E
	Give each resident enough fluids to keep them healthy and prevent dehydration.	G
	Use a registered nurse at least 8 hours a day, 7 days a week.	D
	Keep each resident free from physical restraints, unless needed for medical treatment.	D
	Make sure that the nursing home area is free of dangers that cause accidents.	H
	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
	Give the right treatment and services to residents who have mental or social problems adjusting.	D
	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	G
	Set up or keep a group of people to review and ensure quality.	H
	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	G
	Give each resident a special diet to help when there is a nutritional problem.	D

RATING

VIOLATION

SCOPE/SEVERITY CODE

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.

Listen to the resident or family groups or act on their complaints or suggestions.

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

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

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

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

Keep accurate and appropriate medical records.

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

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.

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

Keep all essential equipment working safely.

Provide activities to meet the needs of each resident.

Give professional services that meet a professional standard of quality.

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

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

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

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

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

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

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

Provide needed housekeeping and maintenance.

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

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

post nurse staffing information.

Make sure that residents are well nourished.

Give each resident enough fluids to keep them healthy and prevent dehydration.

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

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

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

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.

Give the right treatment and services to residents who have mental or social problems adjusting.

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

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.

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

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

Give each resident a special diet to help when there is a nutritional problem.

DATE	COMPLAINT VIOLATION CONFIRMED	SCOPE/SEVERITY CODE
06/21/2005	Make sure that the nursing home area is free of dangers that cause accidents.	D
08/22/2005	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
08/22/2005	Provide services to meet the needs and preferences of each resident.	D
08/22/2005	Keep temperature levels comfortable and safe.	E
08/22/2005	Give each resident care and services to get or keep the highest quality of life possible.	D
08/22/2005	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
10/06/2005	Quickly give a resident's personal money to the heads of his or her estate after the resident's death.	D
10/06/2005	Provide services to meet the needs and preferences of each resident.	E
10/06/2005	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	E
10/06/2005	Make sure that the nursing home area is free of dangers that cause accidents.	E
05/25/2006	Provide services to meet the needs and preferences of each resident.	E
05/25/2006	Provide needed housekeeping and maintenance.	D
05/25/2006	Give professional services that meet a professional standard of quality.	D
05/25/2006	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	D
06/23/2006	Provide services to meet the needs and preferences of each resident.	D
06/23/2006	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possibl	D
08/21/2006	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
08/21/2006	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	D
08/21/2006	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	K
08/21/2006	Give professional services that meet a professional standard of quality.	K
08/21/2006	Give professional services that follow each resident's written care plan.	K
08/21/2006	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
08/21/2006	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	K
08/21/2006	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possibl	D
08/21/2006	Make sure that the nursing home area is free of dangers that cause accidents.	D
08/21/2006	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	K
08/21/2006	Be administered in a way that leads to the highest possible level of well being for each resident.	K
08/21/2006	Make sure that nurse aides show they have the skills to be able to care for residents.	K
08/21/2006	Choose a doctor to be the medical director.	K
08/21/2006	Set up or keep a group of people to review and ensure quality.	K
03/07/2007	Give professional services that meet a professional standard of quality.	E
05/10/2007	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
01/10/2008	Provide services to meet the needs and preferences of each resident.	D
01/10/2008	Have enough nurses to care for every resident in a way that maximizes the resident's well being.	D
01/10/2008	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	F

DATE

RATING

COMPLAINT VIOLATION CONFIRMED

SCOPE/SEVERITY CODE

06/21/2005

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

08/22/2005

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

08/22/2005

Keep temperature levels comfortable and safe.

08/22/2005

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

08/22/2005

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

10/06/2005

Quickly give a resident's personal money to the heads of his or her estate after the resident's death.

10/06/2005

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

10/06/2005

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

10/06/2005

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

05/25/2006

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

05/25/2006

Provide needed housekeeping and maintenance.

05/25/2006

Give professional services that meet a professional standard of quality.

05/25/2006

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

06/23/2006

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

06/23/2006

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possibl

08/21/2006

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

08/21/2006

Give professional services that meet a professional standard of quality.

08/21/2006

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

08/21/2006

Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

08/21/2006

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

08/21/2006

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

08/21/2006

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

08/21/2006

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

08/21/2006

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

08/21/2006

Choose a doctor to be the medical director.

08/21/2006

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

03/07/2007

Give professional services that meet a professional standard of quality.

05/10/2007

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.

01/10/2008

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

01/10/2008

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

01/10/2008

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

NATIONAL NURSING HOME WATCH LIST

GREENHILLS HEALTH AND REHABILITATION C: Actual Harm and/or Immediate Jeopardy

3939 HILLSBORO CIRCLE

NASHVILLE TN

TELEPHONE: 6152972100

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 150 / 91

COMPLAINT SURVEY RESULTS: SUBSTANTIATED