| Total Number of Beds: 132 | Percent of Occupied Beds: 83% |
| Total Number of Residents: 109 | 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: 04/24/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-07-30 |
2001-08-15 |
Mistreatment Deficiencies |
Protect residents from mistreatment, neglect, and/or theft of personal property. |
Isolated |
Actual harm |
| 2001-07-30 |
2001-07-31 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-07-30 |
2001-11-27 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Pattern |
Potential for minimal harm |
| 2001-07-30 |
2001-08-15 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-07-30 |
2001-08-15 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-07-30 |
2001-08-15 |
Environmental Deficiencies |
Make sure that the nursing home area is safe, easy to use, clean and comfortable. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-07-30 |
2001-08-15 |
Administration Deficiencies |
Be administered in a way that leads to the highest possible level of well being for each resident. |
Pattern |
Actual harm |
| 2002-05-29 |
2002-06-01 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-05-29 |
2002-05-31 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-05-29 |
2002-06-05 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-05-29 |
2002-05-31 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-05-29 |
0000-00-00 |
Environmental Deficiencies |
Provide rooms that are big enough for each resident. |
Pattern |
Potential for minimal harm |
| 2002-05-29 |
2002-05-31 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-04-24 |
2003-04-24 |
Environmental Deficiencies |
Provide rooms that are big enough for each resident. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.