| Total Number of Beds: 160 | Percent of Occupied Beds: 93% |
| Total Number of Residents: 148 | Located Within a Hospital: No |
| Type of Ownership: For 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: 09/15/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-12-18 |
2002-03-04 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-12-18 |
2002-03-04 |
Quality Care Deficiencies |
Give each resident enough fluids to keep them healthy and prevent dehydration. |
Isolated |
Actual harm |
| 2001-12-18 |
2002-03-04 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-12-18 |
2002-03-04 |
Administration Deficiencies |
Train all employees on what to do in an emergency. |
Pattern |
Potential for minimal harm |
| 2002-10-02 |
2002-12-02 |
Administration Deficiencies |
Train all employees on what to do in an emergency. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-09-15 |
2003-10-01 |
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 |
| 2003-09-15 |
2003-10-01 |
Pharmacy Service Deficiencies |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.