| Total Number of Beds: 182 | Percent of Occupied Beds: 95% |
| Total Number of Residents: 172 | Located Within a Hospital: No |
| Type of Ownership: Non profit - Corporation | 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: 08/12/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-10-31 |
2002-01-09 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-10-31 |
2002-01-09 |
Administration Deficiencies |
1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. |
Pattern |
Potential for minimal harm |
| 2002-08-01 |
2002-10-01 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-08-01 |
2002-10-01 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-08-01 |
2002-10-01 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-08-01 |
2002-10-01 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-12 |
2003-09-30 |
Resident Rights Deficiencies |
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-12 |
2003-09-30 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-12 |
2003-09-02 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Potential for minimal harm |
| 2003-08-12 |
2003-09-30 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-12 |
2003-09-30 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-12 |
2003-09-30 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-08-12 |
2003-09-30 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-08-12 |
2003-09-30 |
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 |
*** All violations listed are based on federal government records.