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NATIONAL NURSING HOME WATCH LIST |
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LBJ MEDICAL CENTER: Actual Harm and/or Immediate Jeopardy |
206 HALEY RD |
JOHNSON CITY TX |
TELEPHONE: 8308684093 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 60 / 93 |
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| Based on the annual and complaint survey data reported by CMS as of 02/27/08 , 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: |
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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 |
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| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 05/25/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
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Give professional services that meet a professional standard of quality. | G |
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Make sure that doctors visit residents regularly, as required. | E |
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Get rid of garbage properly. | F |
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Store, cook, and give out food in a safe and clean way. | F |
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Provide special eating equipment and utensils for each resident who needs them. | E |
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post nurse staffing information. | C |
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Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | E |
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Give each resident care and services to get or keep the highest quality of life possible. | G |
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Make sure that nurse aides show they have the skills to be able to care for residents. | E |
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Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | E |
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Provide needed housekeeping and maintenance. | E |
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Hire a qualified activities director. | C |
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Make sure that the nursing home area is free of dangers that cause accidents. | E |
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Have a program to keep infection from spreading. | C |
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Set up or keep a group of people to review and ensure quality. | F |
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Choose a doctor to be the medical director. | F |
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1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | E |
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Be administered in a way that leads to the highest possible level of well being for each resident. | F |
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Make sure there is a program to prevent/deal with mice, insects, or other pests. | F |
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Make sure that the nursing home area is safe, easy to use, clean and comfortable. | E |
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Make sure that staff members wash their hands when needed. | E |
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Keep all essential equipment working safely. | C |
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Provide bedrooms that don't allow residents to see each other when privacy is needed. | E |
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Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture. | F |
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offer Flu or Pneumococal vaccine to some residents. | E |
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Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | E |
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Keep accurate and appropriate medical records. | E |
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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 |
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Keep each resident free from physical restraints, unless needed for medical treatment. | E |
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Make sure that residents are well nourished. | E |
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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 |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 08/09/2007 |
| Give each resident a special diet to help when there is a nutritional problem. | E |
| 08/09/2007 |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | E |
| 08/09/2007 |
| Use a registered nurse at least 8 hours a day, 7 days a week. | F |
| 08/09/2007 |
| post nurse staffing information. | C |
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