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NATIONAL NURSING HOME WATCH LIST

FIR LANE HEALTH AND REHAB CTR: Actual Harm and/or Immediate Jeopardy

2430 NORTH 13TH STREET

SHELTON WA

TELEPHONE: 3604261651

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 135 / 90

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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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NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 11/09/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Make sure that each resident gets help to keep vision and hearing. D
Provide activities to meet the needs of each resident. E
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. E
Provide services to meet the needs and preferences of each resident. E
Make sure that staff members wash their hands when needed. 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. D
Give professional services that meet a professional standard of quality. E
Give each resident care and services to get or keep the highest quality of life possible. D
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. D
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. E
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
04/22/2005 Protect residents from mistreatment, neglect, and/or theft of personal property. G
05/23/2005 Give professional services that meet a professional standard of quality. D
05/23/2005 Give each resident a special diet to help when there is a nutritional problem. G
07/14/2005 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
07/29/2005 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 B
07/29/2005 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. B
08/15/2005 Give professional services that meet a professional standard of quality. D
11/15/2005 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
11/15/2005 Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. G
11/15/2005 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
11/15/2005 Make sure that each resident's nutritional needs were met. D
12/07/2005 Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. G
01/06/2006 Give professional services that follow each resident's written care plan. D
01/06/2006 Make sure that the nursing home area is free of dangers that cause accidents. E
02/08/2006 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. E
02/08/2006 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. E
02/05/2007 Give each resident care and services to get or keep the highest quality of life possible. D
02/27/2007 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D
04/24/2007 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
04/24/2007 Give each resident care and services to get or keep the highest quality of life possible. D
04/24/2007 Make sure that each resident's nutritional needs were met. D
06/25/2007 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. B
10/12/2007 Make sure that residents are safe from serious medication errors. E
12/21/2007 Develop a plan with the resident and family for the resident's care after leaving the nursing home. D
02/05/2008 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
02/05/2008 Make sure that the nursing home area is free of dangers that cause accidents. D
03/24/2008 Make sure that the nursing home area is free of dangers that cause accidents. D
03/24/2008 Make sure that each resident's nutritional needs were met. G
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