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NATIONAL NURSING HOME WATCH LIST

EVERGREEN BREMERTON HEALTH & R: Actual Harm and/or Immediate Jeopardy

3517 ELEVENTH STREET

BREMERTON WA

TELEPHONE: 3603775537

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 62 / 84

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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: 05/25/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Provide services to meet the needs and preferences of each resident. D
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. E
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 each resident enough fluids to keep them healthy and prevent dehydration. G
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 care and services to get or keep the highest quality of life possible. G
Store, cook, and give out food in a safe and clean way. E
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
Make sure that the nursing home area is safe, easy to use, clean and comfortable. E
Keep accurate and appropriate medical records. E
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. E

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
03/24/2006 Use a registered nurse at least 8 hours a day, 7 days a week. D
02/28/2007 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
02/28/2007 Develop a plan with the resident and family for the resident's care after leaving the nursing home. D
07/19/2007 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
07/19/2007 Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
07/19/2007 Make sure that the nursing home area is free of dangers that cause accidents. D
09/13/2007 Give each resident care and services to get or keep the highest quality of life possible. D
11/16/2007 Provide enough notice before discharging or transferring a resident. D
11/16/2007 Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. D
11/16/2007 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 D
11/16/2007 Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. B
03/26/2008 Get proof that a nurse aide has the training and skills that the State requires. D
03/26/2008 Have licensed, certified, or registered staff to give needed services. D
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