Clinton County Health Care Center

Total Number of Beds: 52	Percent of Occupied Beds: 100%
Total Number of Residents: 52	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 12/13/2002

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.46

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.98

Number of CNA Hours per Nursing Home Resident per Day: 2.29

Number of Staff Hours per Nursing Home Resident per Day: 3.73

Nursing Home Resident Information**:

Percent of High-Risk Residents Who Have Pressure Sores: 23%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 20%
Percent of Residents Who Have Moderate to Severe Pain: 2%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 19%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 13%
Percent of Residents Who are More Depressed or Anxious: 11%
Percent of Short-Stay Residents With Delirium: 4%
Percent of Residents Who Were Physically Restrained: 4%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 13%
Percent of Residents With a Urinary Tract Infection: 19%
** Details Last Reported on: 12/13/2002

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2000-08-16	2000-08-30	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Pattern	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	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
2000-08-16	2000-08-30	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Isolated	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Isolated	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Environmental Deficiencies	Keep all essential equipment working safely.	Isolated	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm
2000-08-16	2000-08-30	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
2001-10-17	2001-10-29	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
2001-10-17	2001-10-19	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Potential for minimal harm
2001-10-17	2001-10-29	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Widespread	Potential for minimal harm
2002-12-13	2003-01-24	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
2002-12-13	2003-12-13	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm
2002-12-13	2003-01-15	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
2002-12-13	2003-01-24	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2002-12-13	2003-01-15	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
2002-12-13	2003-01-24	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2002-12-13	2003-01-15	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
2002-12-13	2003-01-24	Environmental Deficiencies	Put firmly secured handrails on each side of hallways.	Pattern	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.