Friendship Village Bloomington

Total Number of Beds: 32	Percent of Occupied Beds: 66%
Total Number of Residents: 21	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 05/01/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.05

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.72

Number of CNA Hours per Nursing Home Resident per Day: 6.25

Number of Staff Hours per Nursing Home Resident per Day: 10.02

Nursing Home Resident Information**:

Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 10%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 5/1/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-06-01	2001-06-18	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	Isolated	Minimal harm or potential for actual harm

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