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NATIONAL NURSING HOME WATCH LIST

ST JOHNSBURY HEALTH & REHAB: Actual Harm and/or Immediate Jeopardy

1248 HOSPITAL DRIVE

SAINT JOHNSBURY VT

TELEPHONE: 8027488757

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 110 / 89

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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:
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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NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 2 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 05/16/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Make sure that the nursing home area is free of dangers that cause accidents. G
Keep accurate and appropriate medical records. D
Put firmly secured handrails on each side of hallways. E
Have a program to keep infection from spreading. D
At least once a month, have a licensed pharmacist check the drugs that each resident takes. D
Make sure that each resident's nutritional needs were met. D
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 possible. D
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D
Give each resident care and services to get or keep the highest quality of life possible. G
Give professional services that meet a professional standard of quality. E
Set up or keep a group of people to review and ensure quality. 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
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
Provide needed housekeeping and maintenance. E
Protect residents from mistreatment, neglect, and/or theft of personal property. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
12/20/2005 Give each resident care and services to get or keep the highest quality of life possible. D
07/06/2006 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 G
07/06/2006 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. D
07/06/2006 Give professional services that follow each resident's written care plan. G
07/06/2006 Make sure that the nursing home area is free of dangers that cause accidents. G
07/06/2006 Have enough nurses to care for every resident in a way that maximizes the resident's well being. G
07/06/2006 Be administered in a way that leads to the highest possible level of well being for each resident. D
07/12/2006 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 G
07/12/2006 Provide services to meet the needs and preferences of each resident. D
07/12/2006 Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
07/12/2006 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 G
07/12/2006 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
07/12/2006 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. D
07/12/2006 Set up or keep a group of people to review and ensure quality. G
07/26/2006 Give professional services that meet a professional standard of quality. G
07/26/2006 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
07/26/2006 Make sure that staff members wash their hands when needed. D
03/01/2007 Make a complete assessment that covers all questions for areas that are listed in official regulations. G
03/01/2007 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 G
03/01/2007 Make sure that the nursing home area is free of dangers that cause accidents. G
03/01/2007 Set up or keep a group of people to review and ensure quality. G
04/11/2007 Give professional services that meet a professional standard of quality. D
04/11/2007 Keep accurate and appropriate medical records. D
04/25/2007 Provide needed housekeeping and maintenance. D
04/25/2007 Give professional services that meet a professional standard of quality. D
04/25/2007 Give professional services that follow each resident's written care plan. D
04/25/2007 Give each resident care and services to get or keep the highest quality of life possible. D
06/14/2007 Give professional services that follow each resident's written care plan. D
08/01/2007 Provide needed housekeeping and maintenance. B
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