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NATIONAL NURSING HOME WATCH LIST

DEANWOOD REHABILITATION AND WELLNESS C: Actual Harm and/or Immediate Jeopardy

5000 BURROUGHS AVE. NE

WASHINGTON DC

TELEPHONE: 2023997504

TYPE OF OWNERSHIP: For profit - Partnership

NUMBER OF BEDS / PERCENT OCCUPIED: 296 / 92

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Based on the annual and complaint survey data reported by CMS as of 07/29/10 , 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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NOTE: THIS HOME ALSO FOUND TO HAVE CAUSED ACTUAL HARM OR PLACED
PATIENTS IN IMMEDIATE JEOPARDY ON AT LEAST: 3 ADDITIONAL SURVEY(S)
RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 04/09/2009
RATING VIOLATION SCOPE/SEVERITY CODE
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. D
Make sure there is a program to prevent/deal with mice, insects, or other pests. D
Be administered in a way that leads to the highest possible level of well being for each resident. D
1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. D
Keep accurate and appropriate medical records. E
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. E
Give each resident care and services to get or keep the highest quality of life possible. G
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. D
Keep assessments completed in the preceding 15 months in the resident's active record. D
Give professional services that meet a professional standard of quality. D
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
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
Assess the resident when the resident enters the nursing home, in a timely manner. D
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. D
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. D
Make sure that the nursing home area is free of dangers that cause accidents. D
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
Provide needed housekeeping and maintenance. D
Store, cook, and give out food in a safe and clean way. E
Keep all essential equipment working safely. E
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. D
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
At least once a month, have a licensed pharmacist check the drugs that each resident takes. D
Properly mark drugs and other similar products. D
Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection. E
Make sure that staff members wash their hands when needed. D
Have a program to keep infection from spreading. D
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. D
Make sure that each resident's nutritional needs were met. D
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
Provide enough notice before discharging or transferring a resident. D
Try to resolve each resident's complaints quickly. D
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. D

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
03/16/2007 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. D
03/16/2007 Follow all laws and professional standards. D
03/16/2007 Give or get lab tests to meet the needs of residents. D
06/26/2007 Protect the resident from a transfer or discharge that is not wanted or needed. E
12/05/2007 Keep temperature levels comfortable and safe. E
12/05/2007 Keep all essential equipment working safely. E
02/08/2008 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
02/08/2008 Give each resident care and services to get or keep the highest quality of life possible. G
02/08/2008 Make sure that the nursing home area is free of dangers that cause accidents. G
06/30/2008 Give each resident care and services to get or keep the highest quality of life possible. D
06/30/2008 Follow all laws and professional standards. D
06/30/2008 Keep accurate and appropriate medical records. D
07/18/2008 Get rid of garbage properly. F
09/04/2008 Keep all essential equipment working safely. C
09/23/2008 Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
09/23/2008 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
09/23/2008 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
09/23/2008 Give each resident care and services to get or keep the highest quality of life possible. E
09/23/2008 Make sure that the nursing home area is free of dangers that cause accidents. J
09/23/2008 Make sure that each resident's nutritional needs were met. D
09/23/2008 Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. D
09/23/2008 Make sure that doctors visit residents regularly, as required. D
09/23/2008 Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. D
09/23/2008 Be administered in a way that leads to the highest possible level of well being for each resident. D
09/23/2008 Follow all laws and professional standards. D
09/23/2008 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. D
09/23/2008 Keep accurate and appropriate medical records. D
09/24/2008 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
09/24/2008 Follow all laws and professional standards. D
02/06/2009 Protect each resident from all abuse, physical punishment, and being separated from others. D
02/06/2009 Give each resident care and services to get or keep the highest quality of life possible. D
02/06/2009 At least once a month, have a licensed pharmacist check the drugs that each resident takes. D
04/15/2009 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
07/26/2009 Make sure that the nursing home area is free of dangers that cause accidents. G
09/16/2009 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
10/26/2009 Follow all laws and professional standards. D
11/16/2009 Give each resident care and services to get or keep the highest quality of life possible. D
11/18/2009 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. D
11/18/2009 Follow all laws and professional standards. D
11/18/2009 Keep accurate and appropriate medical records. D
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