Wellmont Bristol Regional Center Skilled Nursing Facility

Total Number of Beds: 30	Percent of Occupied Beds: 80%
Total Number of Residents: 24	Located Within a Hospital: Yes
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 11/13/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.91

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2

Number of CNA Hours per Nursing Home Resident per Day: 2.37

Number of Staff Hours per Nursing Home Resident per Day: 6.28

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 36%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 36%
Percent of Short-Stay Residents With Delirium: 1%
** Details Last Reported on: 11/13/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-03-28	2002-05-10	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Potential for minimal harm
2002-03-28	2002-05-10	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
2002-03-28	2002-05-10	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
2002-03-28	2002-05-10	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
2002-03-28	2002-05-10	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Minimal harm or potential for actual harm
2002-03-28	2002-05-10	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
2002-03-28	2002-05-10	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2002-03-28	2002-05-10	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm
2002-03-28	2002-05-10	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
2003-11-13	2003-12-13	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Isolated	Minimal harm or potential for actual harm

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