| Total Number of Beds: 104 | Percent of Occupied Beds: 97% |
| Total Number of Residents: 101 | 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: 01/23/2004 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-01-30 |
2002-03-29 |
Administration Deficiencies |
Follow all laws and professional standards. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-21 |
2003-04-21 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-21 |
2003-04-21 |
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 |
| 2003-02-21 |
2003-04-24 |
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 |
| 2003-02-21 |
2003-04-21 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2003-02-21 |
2003-04-21 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2004-01-23 |
2004-03-03 |
Resident Rights Deficiencies |
Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. |
Pattern |
Minimal harm or potential for actual harm |
| 2004-01-23 |
2004-03-03 |
Nutrition and Dietary Deficiencies |
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. |
Pattern |
Minimal harm or potential for actual harm |
| 2004-01-23 |
2004-03-03 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.