| Total Number of Beds: 117 | Percent of Occupied Beds: 99% |
| Total Number of Residents: 116 | 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: 04/24/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-01-11 |
2001-02-19 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| 2001-01-11 |
2001-02-19 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Potential for minimal harm |
| 2001-01-11 |
2001-02-19 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Potential for minimal harm |
| 2001-01-11 |
2001-02-19 |
Nutrition and Dietary Deficiencies |
Make sure that residents are well nourished. |
Pattern |
Potential for minimal harm |
| 2001-01-11 |
2001-02-19 |
Nutrition and Dietary Deficiencies |
1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. |
Pattern |
Potential for minimal harm |
| 2001-01-11 |
2001-02-19 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Potential for minimal harm |
| 2002-03-14 |
2002-05-22 |
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 |
| 2002-03-14 |
2002-05-22 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-04-24 |
2003-06-08 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2003-04-24 |
2003-06-08 |
Resident Assessment Deficiencies |
Make sure that all needed doctor visits are made personally by a doctor, as required. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.