| Total Number of Beds: 119 | Percent of Occupied Beds: 75% |
| Total Number of Residents: 89 | Located Within a Hospital: No |
| Type of Ownership: For profit - Partnership | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 04/10/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-04-27 |
2001-06-08 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-04-27 |
2001-06-01 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-04-27 |
2001-06-01 |
Environmental Deficiencies |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-04-27 |
2001-06-01 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-11 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-11 |
Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-03-27 |
2002-05-11 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2003-04-10 |
2003-05-25 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-25 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2003-04-10 |
2003-05-25 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-04-10 |
2003-05-25 |
Environmental Deficiencies |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.