Country View Nursing Facility, Inc

Total Number of Beds: 60	Percent of Occupied Beds: 68%
Total Number of Residents: 41	Located Within a Hospital: No
Type of Ownership: For profit - Individual	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: 12/03/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.68

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.82

Number of CNA Hours per Nursing Home Resident per Day: 3

Number of Staff Hours per Nursing Home Resident per Day: 4.5

Nursing Home Resident Information**:

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: 6%
Percent of Residents Who are More Depressed or Anxious: 17%
Percent of Residents Who Were Physically Restrained: 14%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 10%
Percent of Residents With a Urinary Tract Infection: 0%
** Details Last Reported on: 12/3/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-03-15	2002-04-12	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
2002-03-15	2002-04-29	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
2002-03-15	2002-04-23	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Isolated	Minimal harm or potential for actual harm
2002-03-15	2002-04-23	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2002-03-15	2002-04-12	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Widespread	Minimal harm or potential for actual harm
2002-03-15	2002-04-12	Administration Deficiencies	Have licensed, certified, or registered staff to give needed services.	Widespread	Minimal harm or potential for actual harm
2003-01-17	2003-01-20	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Pattern	Minimal harm or potential for actual harm
2003-01-17	2003-01-20	Resident Rights Deficiencies	Send and promptly deliver unopened mail to residents.	Isolated	Minimal harm or potential for actual harm
2003-01-17	2003-02-10	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
2003-01-17	2003-02-07	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Isolated	Minimal harm or potential for actual harm
2003-12-03	2003-12-06	Resident Rights Deficiencies	Send and promptly deliver unopened mail to residents.	Widespread	Potential for minimal harm
2003-12-03	2003-12-29	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
2003-12-03	2003-12-18	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Isolated	Minimal harm or potential for actual harm
2003-12-03	2003-12-18	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
2003-12-03	2003-12-05	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
2003-12-03	2004-01-16	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Widespread	Minimal harm or potential for actual harm
2003-12-03	2004-01-16	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Widespread	Minimal harm or potential for actual harm

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