| Total Number of Beds: 120 | Percent of Occupied Beds: 96% |
| Total Number of Residents: 115 | 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: 02/06/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2000-12-07 |
2001-01-06 |
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 |
| 2000-12-07 |
2001-01-06 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Isolated |
Minimal harm or potential for actual harm |
| 2000-12-07 |
2001-01-06 |
Administration Deficiencies |
Keep complete, dated lab records in the resident's file. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-01-25 |
2002-02-24 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Potential for minimal harm |
| 2002-01-25 |
2002-02-24 |
Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-25 |
Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-25 |
Quality Care Deficiencies |
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-25 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-25 |
Quality Care Deficiencies |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-25 |
Nutrition and Dietary Deficiencies |
Provide food in a way that meets a resident's needs. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-25 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-25 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-06 |
2003-03-25 |
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 |
*** All violations listed are based on federal government records.