| Total Number of Beds: 120 | Percent of Occupied Beds: 64% |
| Total Number of Residents: 77 | 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: 01/15/2004 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-01-08 |
2003-03-09 |
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 |
| 2003-01-08 |
2003-03-09 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| 2003-01-08 |
2003-03-09 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-01-08 |
2003-03-09 |
Administration Deficiencies |
Hire nurse aides who have completed required training and shown that they are skilled. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-30 |
2003-09-30 |
Resident Assessment Deficiencies |
Do a new assessment after any major change in a resident's physical or mental health. |
Pattern |
Potential for minimal harm |
| 2003-07-30 |
2003-09-30 |
Resident Assessment Deficiencies |
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. |
Pattern |
Potential for minimal harm |
| 2004-01-15 |
2004-03-01 |
Resident Assessment Deficiencies |
Make sure that doctors visit residents regularly, as required. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.