| Total Number of Beds: 100 | Percent of Occupied Beds: 99% |
| Total Number of Residents: 99 | Located Within a Hospital: No |
| Type of Ownership: Non profit - Church related | 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: 08/01/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-04-13 |
2001-07-02 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-05-09 |
2002-07-09 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-05-09 |
2002-07-09 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-05-09 |
2002-07-09 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Pattern |
Potential for minimal harm |
| 2002-05-09 |
2002-07-09 |
Quality Care Deficiencies |
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-05-09 |
2002-07-09 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| 2003-08-01 |
2003-09-15 |
Resident Rights Deficiencies |
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. |
Pattern |
Potential for minimal harm |
| 2003-08-01 |
2003-09-15 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Pattern |
Potential for minimal harm |
| 2003-08-01 |
2003-09-15 |
Resident Rights Deficiencies |
Have a private telephone available for use. |
Pattern |
Potential for minimal harm |
| 2003-08-01 |
2003-09-15 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-01 |
2003-09-15 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-01 |
2003-09-15 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-01 |
2003-09-15 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.