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NATIONAL NURSING HOME WATCH LIST

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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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:
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
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

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/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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