| Total Number of Beds: 112 | Percent of Occupied Beds: 86% |
| Total Number of Residents: 96 | Located Within a Hospital: No |
| Type of Ownership: For profit - Corporation | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 12/05/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-07-25 |
2002-10-03 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Widespread |
Potential for minimal harm |
| 2002-10-03 |
2002-10-17 |
Nutrition and Dietary Deficiencies |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. |
Widespread |
Potential for minimal harm |
| 2003-12-05 |
2004-01-23 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Pattern |
Potential for minimal harm |
| 2003-12-05 |
2004-01-23 |
Environmental Deficiencies |
Keep temperature levels comfortable and safe. |
Pattern |
Potential for minimal harm |
| 2003-12-05 |
2004-01-23 |
Resident Assessment Deficiencies |
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 plan. |
Pattern |
Potential for minimal harm |
| 2003-12-05 |
2004-01-23 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2003-12-05 |
2004-01-23 |
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.