| Total Number of Beds: 123 | Percent of Occupied Beds: 89% |
| Total Number of Residents: 109 | Located Within a Hospital: No |
| Type of Ownership: Non 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: 11/26/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-12-10 |
2002-01-01 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-12-10 |
2002-01-01 |
Pharmacy Service Deficiencies |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-12-19 |
2003-01-13 |
Quality Care Deficiencies |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-12-19 |
2003-01-13 |
Pharmacy Service Deficiencies |
Use the services of a licensed pharmacist. |
Pattern |
Potential for minimal harm |
| 2003-11-26 |
2003-12-23 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-26 |
2004-01-02 |
Resident Rights Deficiencies |
Provide enough notice before discharging or transferring a resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-26 |
2003-12-23 |
Resident Rights Deficiencies |
Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-26 |
2004-01-02 |
Quality Care Deficiencies |
Make sure that each residents' abilities to take care of themselves does not lessen, unless a change cannot be avoided. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-26 |
2004-01-02 |
Quality Care Deficiencies |
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-11-26 |
2004-01-02 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.