| Total Number of Beds: 114 | Percent of Occupied Beds: 66% |
| Total Number of Residents: 75 | Located Within a Hospital: No |
| Type of Ownership: For profit - Corporation | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: Family & Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 10/30/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-08-01 |
2002-09-15 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-08-01 |
2002-09-15 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2003-02-06 |
2003-03-21 |
Quality Care Deficiencies |
Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-21 |
Quality Care Deficiencies |
Give each resident a special diet to help when there is a nutritional problem. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-21 |
Nutrition and Dietary Deficiencies |
Hire enough skilled workers to carry out dietary service. |
Widespread |
Potential for minimal harm |
| 2003-02-06 |
2003-03-21 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-21 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-10-30 |
2003-12-15 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Potential for minimal harm |
| 2003-10-30 |
2003-12-15 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| 2003-10-30 |
2003-12-15 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2003-10-30 |
2003-12-15 |
Quality Care Deficiencies |
Give each resident a special diet to help when there is a nutritional problem. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-10-30 |
2003-12-15 |
Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-10-30 |
2003-12-15 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-10-30 |
2003-12-15 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.