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NATIONAL NURSING HOME WATCH LIST |
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CONCORDIA CARE CENTER: Actual Harm and/or Immediate Jeopardy |
7 PROFESSIONAL DRIVE |
BELLA VISTA AR |
TELEPHONE: 4798553735 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 102 / 78 |
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| RATING | DEFINITION |
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| 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 |
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| PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 1 ADDITIONAL SURVEY(S) |
| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 11/02/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | E | |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | D | |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | H | |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | E | |
| Give each resident care and services to get or keep the highest quality of life possible. | G | |
| Choose a doctor to be the medical director. | H | |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | E | |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | D | |
| Make sure that the nursing home area is free of dangers that cause accidents. | E | |
| Set up or keep a group of people to review and ensure quality. | H | |
| Keep accurate and appropriate medical records. | E | |
| Give or get lab tests to meet the needs of residents. | D | |
| Make sure that nurse aides show they have the skills to be able to care for residents. | 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. | E | |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | E | |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | E | |
| Store, cook, and give out food in a safe and clean way. | F | |
| 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 | |
| Have a program to keep infection from spreading. | H | |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | E | |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | H | |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | E | |
| Make sure that residents are well nourished. | F | |
| offer Flu or Pneumococal vaccine to some residents. | E | |
| Keep a resident apart from the others if the resident has an infection that can spread. | 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 | |
| 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. | E | |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | E | |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | E | |
| 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. | E | |
| Keep each resident free from physical restraints, unless needed for medical treatment. | E | |
| Let residents give themselves their drugs if they are able. | E | |
| Have a private telephone available for use. | E | |
| Provide needed housekeeping and maintenance. | D | |
| Make sure that staff members wash their hands when needed. | E | |
| Keep each resident's personal and medical records private and confidential. | E |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
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