Residence at Greystone, the

Total Number of Beds: 120	Percent of Occupied Beds: 89%
Total Number of Residents: 107	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 and Medicaid
* Details Last Reported on: 02/21/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.57

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.03

Number of CNA Hours per Nursing Home Resident per Day: 2.41

Number of Staff Hours per Nursing Home Resident per Day: 4.01

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 2%
Percent of High-Risk Residents Who Have Pressure Sores: 13%
Percent of Residents Who Have Moderate to Severe Pain: 14%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 10%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 1%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 18%
Percent of Residents Who are More Depressed or Anxious: 35%
Percent of Residents Who Were Physically Restrained: 10%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 37%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 5%
Percent of Residents With a Urinary Tract Infection: 11%
** Details Last Reported on: 2/21/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2000-11-07	2000-12-29	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Resident Rights Deficiencies	Properly hold, secure and manage each resident's personal money which is deposited with the nursing home.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Environmental Deficiencies	Keep adequate and comfortable lighting in all areas.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Environmental Deficiencies	Keep sound levels comfortable.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Resident Assessment Deficiencies	Do a new assessment after any major change in a resident's physical or mental health.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Quality Care Deficiencies	Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Quality Care Deficiencies	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Isolated	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	Widespread	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	Pattern	Minimal harm or potential for actual harm
2000-11-07	2000-12-29	Administration Deficiencies	Train all employees on what to do in an emergency.	Pattern	Minimal harm or potential for actual harm
2002-01-18	2002-03-09	Resident Rights Deficiencies	Send and promptly deliver unopened mail to residents.	Pattern	Potential for minimal harm
2002-01-18	2002-03-09	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Pattern	Potential for minimal harm
2002-01-18	2002-03-09	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
2002-01-18	2002-03-09	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Isolated	Minimal harm or potential for actual harm
2002-01-18	2002-03-09	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Pattern	Potential for minimal harm
2002-01-18	2002-03-09	Environmental Deficiencies	Keep sound levels comfortable.	Pattern	Potential for minimal harm
2002-01-18	2002-03-09	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2002-01-18	2002-03-09	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2002-01-18	2002-03-09	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
2002-01-18	2002-03-09	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Minimal harm or potential for actual harm
2002-01-18	2002-03-09	Environmental Deficiencies	Get rid of garbage properly.	Pattern	Potential for minimal harm
2002-01-18	2002-03-09	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	Pattern	Potential for minimal harm
2002-01-18	2002-03-09	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Potential for minimal harm
2002-01-18	2002-03-09	Administration Deficiencies	Make sure that nurse aides show they have the skills to be able to care for residents.	Isolated	Minimal harm or potential for actual harm
2002-01-18	2002-03-09	Administration Deficiencies	Have licensed, certified, or registered staff to give needed services.	Pattern	Potential for minimal harm
2003-02-21	2003-04-12	Resident Rights Deficiencies	Try to resolve each resident's complaints quickly.	Pattern	Potential for minimal harm
2003-02-21	2003-04-25	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
2003-02-21	2003-04-14	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-14	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
2003-02-21	2003-04-14	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2003-02-21	2003-04-25	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-14	Pharmacy Service Deficiencies	Use the services of a licensed pharmacist.	Isolated	Minimal harm or potential for actual harm
2003-02-21	2003-04-14	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm
2003-02-21	2003-04-14	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm

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