Cleveland Manor Nursing Home

Total Number of Beds: 90	Percent of Occupied Beds: 60%
Total Number of Residents: 54	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 Medicare and Medicaid
* Details Last Reported on: 02/21/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.18

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.61

Number of CNA Hours per Nursing Home Resident per Day: 2.81

Number of Staff Hours per Nursing Home Resident per Day: 3.6

Nursing Home Resident Information**:

** Details Last Reported on: 2/21/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2003-02-21	2003-04-21	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Resident Assessment Deficiencies	Get doctor orders for the resident's immediate care when admitted.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	Isolated	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	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	2003-04-21	Environmental Deficiencies	Get rid of garbage properly.	Pattern	Potential for minimal harm
2003-02-21	2003-04-21	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
2003-02-21	2003-04-21	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Potential for minimal harm

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