| Total Number of Beds: 112 | Percent of Occupied Beds: 98% |
| Total Number of Residents: 110 | Located Within a Hospital: No |
| Type of Ownership: Non 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: 12/18/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-08-09 |
2001-09-09 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2001-08-09 |
2001-09-09 |
Administration Deficiencies |
Give or get lab tests to meet the needs of residents. |
Pattern |
Potential for minimal harm |
| 2002-10-23 |
2002-10-24 |
Environmental Deficiencies |
Keep temperature levels comfortable and safe. |
Widespread |
Potential for minimal harm |
| 2002-10-23 |
2002-11-15 |
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 |
| 2002-10-23 |
2002-11-12 |
Environmental Deficiencies |
Get rid of garbage properly. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-10-23 |
2002-11-15 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-10-23 |
2002-11-15 |
Environmental Deficiencies |
Make sure there is a program to prevent/deal with mice, insects, or other pests. |
Widespread |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.