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NATIONAL NURSING HOME WATCH LIST |
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BEVERLY LIVINGCENTER - PETALUMA: Actual Harm and/or Immediate Jeopardy |
101 MONROE STREET |
PETALUMA CA |
TELEPHONE: 7077634109 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 99 / 92 |
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| Based on the annual and complaint survey data reported by CMS as of 02/27/08 , 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: 09/06/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
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Keep temperature levels comfortable and safe. | E |
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Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | C |
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Be administered in a way that leads to the highest possible level of well being for each resident. | G |
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Have licensed, certified, or registered staff to give needed services. | F |
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Keep each resident free from drugs that restrain them, 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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Provide needed housekeeping and maintenance. | E |
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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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Hire a qualified activities director. | E |
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Provide activities to meet the needs of each resident. | E |
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Keep sound levels comfortable. | E |
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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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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 |
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Let the resident or the resident's representative look at all records. | D |
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Keep each resident free from physical restraints, unless needed for medical treatment. | E |
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Let residents give themselves their drugs if they are able. | D |
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Send and promptly deliver unopened mail to residents. | D |
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Keep accurate and appropriate medical records. | E |
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Have a detailed, written plan for disasters and emergencies. | E |
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Listen to the resident or family groups or act on their complaints or suggestions. | E |
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Make sure that residents are safe from serious medication errors. | E |
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Make sure that staff members wash their hands when needed. | D |
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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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Have a program to keep infection from spreading. | D |
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Properly mark drugs and other similar products. | 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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Keep adequate and comfortable lighting in all areas. | E |
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offer Flu or Pneumococal vaccine to some residents. | E |
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Put firmly secured handrails on each side of hallways. | E |
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Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | K |
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Make sure that the nursing home area is free of dangers that cause accidents. | E |
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Give the right treatment and services to residents who have mental or social problems adjusting. | G |
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Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D |
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Give each resident care and services to get or keep the highest quality of life possible. | E |
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Give professional services that meet a professional standard of quality. | E |
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Store, cook, and give out food in a safe and clean way. | E |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 07/06/2005 |
| 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 |
| 07/06/2005 |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | G |
| 07/29/2005 |
| 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 |
| 08/02/2005 |
| 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 |
| 08/02/2005 |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | D |
| 08/05/2005 |
| 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. | G |
| 08/18/2005 |
| Make sure that the nursing home area is free of dangers that cause accidents. | D |
| 09/30/2005 |
| Protect each resident from all abuse, physical punishment, and being separated from others. | D |
| 09/30/2005 |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | D |
| 09/30/2005 |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 01/20/2006 |
| Let the resident or the resident's representative look at all records. | D |
| 05/26/2006 |
| Protect each resident from all abuse, physical punishment, and being separated from others. | D |
| 05/26/2006 |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
| 06/30/2006 |
| Provide written records when a resident is transferred or discharged. | D |
| 06/30/2006 |
| Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | D |
| 11/27/2007 |
| Make sure that the nursing home area is free of dangers that cause accidents. | D |
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