| Total Number of Beds: 130 | Percent of Occupied Beds: 96% |
| Total Number of Residents: 125 | 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: 12/11/2002 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-02-08 |
2001-03-28 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-02-08 |
2001-03-28 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2001-02-08 |
2001-03-05 |
Environmental Deficiencies |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
| 2002-01-17 |
2002-03-18 |
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 |
| 2002-01-17 |
2002-03-18 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-01-17 |
2002-02-12 |
Environmental Deficiencies |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
| 2002-12-11 |
2003-02-11 |
Nutrition and Dietary Deficiencies |
Store, cook, and give out food in a safe and clean way. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-12-11 |
2003-02-11 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-12-11 |
0000-00-00 |
Environmental Deficiencies |
Provide rooms that are big enough for each resident. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.