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NATIONAL NURSING HOME WATCH LIST |
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EVERGREEN HEALTH AND REHAB: Actual Harm and/or Immediate Jeopardy |
380 MILLWOOD AVENUE |
WINCHESTER VA |
TELEPHONE: 5406677010 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 176 / 73 |
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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: |
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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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| NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED |
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| PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S) |
| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 01/14/2009 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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Give or get special rehabilitation if in the patient's plan of care. | D |
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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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Properly mark drugs and other similar products. | D |
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Have a program to keep infection from spreading. | E |
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Set up or keep a group of people to review and ensure quality. | G |
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Make sure there is a program to prevent/deal with mice, insects, or other pests. | F |
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Keep accurate and appropriate medical records. | E |
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Quickly tell the resident's doctor the results of lab tests. | D |
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Give lab tests only when the attending doctor ordered them. | D |
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Give or get lab tests to meet the needs of residents. | D |
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Choose a doctor to be the medical director. | F |
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Follow all laws and professional standards. | E |
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Be administered in a way that leads to the highest possible level of well being for each resident. | E |
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Store, cook, and give out food in a safe and clean way. | F |
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Have a private telephone available for use. | D |
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Make sure that staff members wash their hands when needed. | D |
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post nurse staffing information. | C |
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Provide clean bed and bath linens that are in good condition. | C |
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Keep adequate and comfortable lighting in all areas. | D |
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Do an assessment of the resident every year. | D |
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Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D |
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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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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 | E |
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Provide needed housekeeping and maintenance. | E |
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Keep safe, clean and homelike surroundings. | D |
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Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | D |
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Keep each resident free from physical restraints, unless needed for medical treatment. | D |
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Allow residents to easily see the results of the nursing home's most recent survey. | C |
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Give professional services that meet a professional standard of quality. | D |
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Give the right treatment and services to residents who have mental or social problems adjusting. | D |
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Have enough nurses to care for every resident in a way that maximizes the resident's well being. | D |
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Develop/implement required procedures for the administration of immunizations. | 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 | E |
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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 |
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Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | D |
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Make sure that each resident's nutritional needs were met. | G |
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Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
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Make sure that the nursing home area is free of dangers that cause accidents. | G |
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Give each resident care and services to get or keep the highest quality of life possible. | H |
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Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | D |
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Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion. | D |
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Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | H |
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Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | E |
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Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | D |
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Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. | D |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 11/17/2006 |
| Make sure that residents are safe from serious medication errors. | D |
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