Forest Haven Nursing Home

Total Number of Beds: 161	Percent of Occupied Beds: 99%
Total Number of Residents: 159	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 08/21/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.51

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.77

Number of CNA Hours per Nursing Home Resident per Day: 2.85

Number of Staff Hours per Nursing Home Resident per Day: 4.13

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 0%
Percent of High-Risk Residents Who Have Pressure Sores: 4%
Percent of Residents Who Have Moderate to Severe Pain: 0%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 4%
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: 10%
Percent of Residents Who are More Depressed or Anxious: 9%
Percent of Residents Who Were Physically Restrained: 12%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 76%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 1%
Percent of Residents With a Urinary Tract Infection: 3%
** Details Last Reported on: 8/21/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-06-28	2002-07-19	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Pattern	Potential for minimal harm
2002-06-28	2002-07-19	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
2002-06-28	2002-07-22	Nutrition and Dietary Deficiencies	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	Pattern	Potential for minimal harm
2003-08-21	2003-10-31	Resident Rights Deficiencies	Let the resident refuse treatment or refuse to take part in an experiment.	Pattern	Minimal harm or potential for actual harm
2003-08-21	2003-10-10	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Potential for minimal harm
2003-08-21	2003-10-10	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
2003-08-21	0000-00-00	Environmental Deficiencies	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm
2003-08-21	2003-11-01	Administration Deficiencies	Get services outside the nursing home that meet professional standards.	Pattern	Minimal harm or potential for actual harm

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