| Total Number of Beds: 129 | Percent of Occupied Beds: 93% |
| Total Number of Residents: 120 | Located Within a Hospital: No |
| Type of Ownership: For profit - Corporation | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 03/27/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2000-12-12 |
2001-01-08 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2000-12-12 |
2001-01-08 |
Environmental Deficiencies |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. |
Pattern |
Potential for minimal harm |
| 2002-01-16 |
2002-02-14 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-01-16 |
2002-02-14 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-01-16 |
2002-02-14 |
Resident Assessment Deficiencies |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-01-16 |
2002-02-14 |
Quality Care Deficiencies |
Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-03-27 |
2003-04-27 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-03-27 |
2003-04-27 |
Pharmacy Service Deficiencies |
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. |
Pattern |
Potential for minimal harm |
| 2003-03-27 |
2003-04-27 |
Quality Care Deficiencies |
Give or get dental care for each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-03-27 |
2003-04-27 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.