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Federal/state deficiencies related to the allegations are cited at F371. Survey dates May 19 2014 and May 20 Facility number 010996 Provider number 155665 AIM number 200232210 Survey team Jennifer Carr RN - TC Julie Dover RN Angela Halcomb RN Census bed type SNF/NF 105 Total 105 Census payor type Medicare 9 Medicaid 70 Other 26 LABORATORY DIRECTOR S OR PROVIDER/SUPPLIER REPRESENTATIVE S SIGNATURE TITLE X6 DATE Any defiencystatement ending with an asterisk denotes a deficency which the...

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