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NATIONAL NURSING HOME WATCH LIST |
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BOLIVAR HEALTH & REHAB CTR: Actual Harm and/or Immediate Jeopardy |
200 DR MARTIN LUTHER KING JR DRIVE |
CLEVELAND MS |
TELEPHONE: 6628435347 |
TYPE OF OWNERSHIP: For profit - Corporation |
NUMBER OF BEDS / PERCENT OCCUPIED: 75 / 89 |
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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 |
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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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| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 09/26/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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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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Make a complete assessment that covers all questions for areas that are listed in official regulations. | D |
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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 |
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Give professional services that meet a professional standard of quality. | D |
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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 |
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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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Make sure that each resident's nutritional needs were met. | G |
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Keep accurate and appropriate medical records. | B |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
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| 10/06/2005 |
| Comply with program requirements between annual inspections; although it corrected these problems before the most recent inspection. | J |
| 05/31/2006 |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | D |
| 05/31/2006 |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | D |
| 10/23/2006 |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | J |
| 10/23/2006 |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | J |
| 10/23/2006 |
| Make sure that the nursing home area is free of dangers that cause accidents. | J |
| 10/23/2006 |
| Be administered in a way that leads to the highest possible level of well being for each resident. | J |
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