Teton Medical Center Nursing Home

Total Number of Beds: 36	Percent of Occupied Beds: 86%
Total Number of Residents: 31	Located Within a Hospital: Yes
Type of Ownership: Government - Hospital district	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 12/04/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.5

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.87

Number of CNA Hours per Nursing Home Resident per Day: 3.51

Number of Staff Hours per Nursing Home Resident per Day: 5.88

Nursing Home Resident Information**:

** Details Last Reported on: 12/4/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-09	2001-06-19	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Potential for minimal harm
2001-04-09	2001-06-19	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Potential for minimal harm
2001-04-09	2001-06-19	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
2001-04-09	2001-07-10	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Minimal harm or potential for actual harm
2001-04-09	2001-06-19	Quality Care Deficiencies	Give each resident a special diet to help when there is a nutritional problem.	Isolated	Minimal harm or potential for actual harm
2001-04-09	2001-06-19	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Minimal harm or potential for actual harm
2001-04-09	2001-06-19	Nutrition and Dietary Deficiencies	Offer other nutritional food to each resident who will not eat the food served.	Pattern	Minimal harm or potential for actual harm
2001-04-09	2001-06-19	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
2001-04-09	2001-06-19	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Potential for minimal harm
2002-07-25	2002-09-25	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm

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