Shamokin Area Com Hospital Skilled Nursing Facility

Total Number of Beds: 15	Percent of Occupied Beds: 27%
Total Number of Residents: 4	Located Within a Hospital: Yes
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 04/21/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 8.5

Number of LPN/LVN Hours per Nursing Home Resident per Day: 4.84

Number of CNA Hours per Nursing Home Resident per Day: 1.88

Number of Staff Hours per Nursing Home Resident per Day: 15.22

Nursing Home Resident Information**:

** Details Last Reported on: 4/21/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-05-04	2001-07-02	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
2001-05-04	2001-07-02	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2001-05-04	2001-07-02	Administration Deficiencies	Follow all laws and professional standards.	Widespread	Minimal harm or potential for actual harm

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