Queen City Nursing Home

Total Number of Beds: 37	Percent of Occupied Beds: 62%
Total Number of Residents: 23	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicaid Only
* Details Last Reported on: 06/05/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.36

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.04

Number of CNA Hours per Nursing Home Resident per Day: 2.14

Number of Staff Hours per Nursing Home Resident per Day: 3.54

Nursing Home Resident Information**:

** Details Last Reported on: 6/5/2003

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.