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NATIONAL NURSING HOME WATCH LIST

FREDERIC NUR REHAB COM: Actual Harm and/or Immediate Jeopardy

205 UNITED WAY

FREDERIC WI

TELEPHONE: 7153274297

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 50 / 98

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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:
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: 04/15/2009
RATING VIOLATION SCOPE/SEVERITY CODE
Make sure that the nursing home area is free of dangers that cause accidents. E
Give professional services that follow each resident's written care plan. D
Give each resident care and services to get or keep the highest quality of life possible. G
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. 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
Provide needed housekeeping and maintenance. B
Hire a qualified activities director. C
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. E
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
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 each resident's nutritional needs were met. D
Store, cook, and give out food in a safe and clean way. F
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. C
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
Properly mark drugs and other similar products. D
Have a program to keep infection from spreading. F
Make sure that staff members wash their hands when needed. E
Make sure that the nursing home area is safe, easy to use, clean and comfortable. E
Make sure that nurse aides show they have the skills to be able to care for residents. E
Keep accurate and appropriate medical records. D
Keep each resident's personal and medical records private and confidential. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
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