| Total Number of Beds: 109 | Percent of Occupied Beds: 100% |
| Total Number of Residents: 109 | Located Within a Hospital: No |
| Type of Ownership: Government - County | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 12/03/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-09-13 |
2001-10-02 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-13 |
2001-10-05 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Actual harm |
| 2001-09-13 |
2001-09-14 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-09-13 |
2001-11-02 |
Quality Care Deficiencies |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-09-13 |
2001-10-31 |
Nutrition and Dietary Deficiencies |
Offer other nutritional food to each resident who will not eat the food served. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-09-13 |
2001-10-13 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-10-30 |
2002-12-27 |
Resident Rights Deficiencies |
Let the appropriate people see and talk to each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-10-30 |
2002-12-27 |
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 |
| 2002-10-30 |
2002-12-27 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2003-12-03 |
2003-12-29 |
Environmental Deficiencies |
Keep safe, clean and homelike surroundings. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-03 |
2003-12-29 |
Environmental Deficiencies |
Have enough outside airflow. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.