Fellowship Village - Ltc

Total Number of Beds: 54	Percent of Occupied Beds: 91%
Total Number of Residents: 49	Located Within a Hospital: No
Type of Ownership: Non profit - Other	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 08/27/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.27

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.33

Number of CNA Hours per Nursing Home Resident per Day: 2.82

Number of Staff Hours per Nursing Home Resident per Day: 4.42

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 19%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 8%
Percent of Residents Who Have Moderate to Severe Pain: 0%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 0%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 12%
Percent of Residents Who are More Depressed or Anxious: 18%
Percent of Short-Stay Residents With Delirium: 0%
Percent of Residents Who Were Physically Restrained: 0%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 6%
Percent of Residents With a Urinary Tract Infection: 9%
** Details Last Reported on: 8/27/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-05-16	2001-06-12	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Potential for minimal harm
2001-05-16	2001-06-12	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Pattern	Potential for minimal harm
2003-08-27	2003-10-15	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Minimal harm or potential for actual harm

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