| Total Number of Beds: 49 | Percent of Occupied Beds: 82% |
| Total Number of Residents: 40 | Located Within a Hospital: No |
| Type of Ownership: For 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: 01/16/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 1.11 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.56 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.01 |
| Number of Staff Hours per Nursing Home Resident per Day: 3.68 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 6%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 6%
Percent of Residents Who are More Depressed or Anxious: 18%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 1/16/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-01-17 |
2001-02-01 |
Administration Deficiencies |
Follow all laws and professional standards. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-01-16 |
2003-02-28 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-01-16 |
2003-01-17 |
Administration Deficiencies |
Follow all laws and professional standards. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
