| Total Number of Beds: 21 | Percent of Occupied Beds: 67% |
| Total Number of Residents: 14 | Located Within a Hospital: Yes |
| 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 Medicare Only |
| * Details Last Reported on: 01/28/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 2.9 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.46 |
| Number of Staff Hours per Nursing Home Resident per Day: 5.36 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 23%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 5%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 1/28/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-01-17 |
2001-01-17 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.
