| Total Number of Beds: 114 | Percent of Occupied Beds: 92% |
| Total Number of Residents: 105 | Located Within a Hospital: No |
| Type of Ownership: For profit - Corporation | Multiple Nursing Homes by Same Owner: No |
| 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 |
| 2002-08-29 |
2002-09-29 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-10-30 |
2003-11-08 |
Resident Rights Deficiencies |
Send and promptly deliver unopened mail to residents. |
Widespread |
Potential for minimal harm |
| 2003-10-30 |
2003-11-20 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Widespread |
Potential for minimal harm |
| 2003-10-30 |
2003-12-15 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-10-30 |
2003-11-20 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.