| Total Number of Beds: 102 | Percent of Occupied Beds: 98% |
| Total Number of Residents: 100 | 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: 02/12/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2000-10-25 |
2000-12-15 |
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 |
| 2000-10-25 |
2000-10-25 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Pattern |
Minimal harm or potential for actual harm |
| 2000-10-25 |
2000-12-15 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
| 2000-10-25 |
2000-10-25 |
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 |
| 2000-10-25 |
2000-10-25 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-02-12 |
2003-03-17 |
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. |
Pattern |
Potential for minimal harm |
| 2003-02-12 |
2003-03-17 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.