| Total Number of Beds: 117 | Percent of Occupied Beds: 91% |
| Total Number of Residents: 107 | Located Within a Hospital: No |
| Type of Ownership: Non profit - Corporation | 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: 07/30/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-06-28 |
2001-07-31 |
Mistreatment Deficiencies |
1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-06-28 |
2001-07-31 |
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 |
| 2002-06-26 |
2002-08-09 |
Resident Assessment Deficiencies |
Check and update (if needed) each resident's assessment every 3 months. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-06-26 |
2002-08-09 |
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 |
| 2002-06-26 |
2002-08-09 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-26 |
2002-08-09 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-26 |
2002-08-09 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-26 |
2002-08-09 |
Environmental Deficiencies |
Get rid of garbage properly. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-06-26 |
2002-08-09 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-07-30 |
2003-08-25 |
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 |
| 2003-07-30 |
2003-08-25 |
Quality Care Deficiencies |
Make sure that each resident's nutritional needs were met. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.