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NATIONAL NURSING HOME WATCH LIST |
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DOUGLAS CARE CENTER: Actual Harm and/or Immediate Jeopardy |
1108 BIRCH STREET |
DOUGLAS WY |
TELEPHONE: 3073583397 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 60 / 77 |
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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: |
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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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| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 07/19/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
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Make a complete assessment that covers all questions for areas that are listed in official regulations. | F |
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Keep each resident's personal and medical records private and confidential. | 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. | E |
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Check and update (if needed) each resident's assessment every 3 months. | E |
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Do an assessment of the resident every year. | D |
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Assess the resident when the resident enters the nursing home, in a timely manner. | D |
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Provide clean bed and bath linens that are in good condition. | B |
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Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | D |
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Provide care in a way that keeps or builds each resident's dignity and self respect. | E |
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Keep each resident free from physical restraints, unless needed for medical treatment. | 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. | D |
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Have a private telephone available for use. | D |
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Do a new assessment after any major change in a resident's physical or mental health. | 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 | D |
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Let residents give themselves their drugs if they are able. | D |
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post nurse staffing information. | B |
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Give professional services that meet a professional standard of quality. | E |
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Give or get lab tests to meet the needs of residents. | D |
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Keep complete, dated lab records in the resident's file. | D |
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Follow all laws and professional standards. | E |
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Make sure that the nursing home area is safe, easy to use, clean and comfortable. | E |
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Make sure that staff members wash their hands when needed. | E |
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Have a program to keep infection from spreading. | F |
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At least once a month, have a licensed pharmacist check the drugs that each resident takes. | F |
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Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | D |
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Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
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Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 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. | E |
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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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Keep accurate and appropriate medical records. | E |
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Set up or keep a group of people to review and ensure quality. | H |
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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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Give each resident care and services to get or keep the highest quality of life possible. | G |
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Make sure that doctors visit residents regularly, as required. | D |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 11/22/2006 |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D |
| 02/19/2008 |
| Allow residents to easily see the results of the nursing home's most recent survey. | E |
| 02/19/2008 |
| Provide services to meet the needs and preferences of each resident. | D |
| 02/19/2008 |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
| 02/19/2008 |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
| 02/19/2008 |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | E |
| 02/19/2008 |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | E |
| 02/19/2008 |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | E |
| 02/19/2008 |
| Use a registered nurse at least 8 hours a day, 7 days a week. | D |
| 02/19/2008 |
| Have a program to keep infection from spreading. | E |
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