| Total Number of Beds: 120 | Percent of Occupied Beds: 94% |
| Total Number of Residents: 113 | Located Within a Hospital: No |
| Type of Ownership: For profit - Partnership | 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: 08/22/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-08-03 |
2001-08-04 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-08-03 |
2001-08-04 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Widespread |
Potential for minimal harm |
| 2001-08-03 |
2001-08-04 |
Administration Deficiencies |
Get services outside the nursing home that meet professional standards. |
Widespread |
Potential for minimal harm |
| 2001-08-03 |
2001-08-04 |
Administration Deficiencies |
Give or get lab tests to meet the needs of residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-07-19 |
2002-07-20 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| 2003-08-22 |
2003-10-05 |
Mistreatment Deficiencies |
1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.