| Total Number of Beds: 38 | Percent of Occupied Beds: 95% |
| Total Number of Residents: 36 | Located Within a Hospital: No |
| Type of Ownership: Non profit - Church related | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicaid Only |
| * Details Last Reported on: 10/01/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 0.22 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.64 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.24 |
| Number of Staff Hours per Nursing Home Resident per Day: 3.1 |
Nursing Home Resident Information**:
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 10%
Percent of Residents Who Were Physically Restrained: 30%
Percent of Residents With a Urinary Tract Infection: 0%
** Details Last Reported on: 10/1/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
*** All violations listed are based on federal government records.