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NATIONAL NURSING HOME WATCH LIST |
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DELMAR NURSING & REHABILITATION CENTER: Actual Harm and/or Immediate Jeopardy |
101 E. DELAWARE AVENUE |
DELMAR DE |
TELEPHONE: 3028463077 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 109 / 94 |
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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: 09/05/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
|---|---|---|
| Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | D | |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | E | |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | D | |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | D | |
| 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. | G | |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | G | |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | G | |
| Make sure that residents are safe from serious medication errors. | D | |
| Give each resident care and services to get or keep the highest quality of life possible. | G | |
| Have a program to keep infection from spreading. | F | |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | D | |
| Make sure that staff members wash their hands when needed. | E | |
| Be administered in a way that leads to the highest possible level of well being for each resident. | F | |
| 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | E | |
| Train all employees on what to do in an emergency. | E | |
| Set up or keep a group of people to review and ensure quality. | F | |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | E | |
| Keep each resident's personal and medical records private and confidential. | D | |
| Provide activities to meet the needs of each resident. | E | |
| 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 services to meet the needs and preferences of each resident. | D | |
| 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. | D | |
| Try to resolve each resident's complaints quickly. | D | |
| Hire a qualified activities director. | E | |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | D |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
|---|---|---|---|
| 04/22/2005 | Allow residents to easily see the results of the nursing home's most recent survey. | D | |
| 04/22/2005 | 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 | |
| 04/22/2005 | Provide activities to meet the needs of each resident. | D | |
| 04/22/2005 | Give professional services that meet a professional standard of quality. | E | |
| 06/05/2006 | Let the resident or the resident's representative look at all records. | B | |
| 06/05/2006 | 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 | |
| 06/05/2006 | Try to resolve each resident's complaints quickly. | D | |
| 06/05/2006 | 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 | |
| 06/05/2006 | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | D | |
| 06/05/2006 | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D | |
| 06/05/2006 | 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 th | D | |
| 06/05/2006 | Develop a plan with the resident and family for the resident's care after leaving the nursing home. | D | |
| 06/05/2006 | Make sure that the nursing home area is free of dangers that cause accidents. | G | |
| 06/05/2006 | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | G | |
| 06/05/2006 | Make sure that the attending doctor orders special diets. | D | |
| 06/05/2006 | Make sure there is a program to prevent/deal with mice, insects, or other pests. | F | |
| 06/05/2006 | Give or get x-rays and other tests to meet the needs of residents. | D | |
| 09/27/2006 | Hire a qualified activities director. | D |
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