City Care Center of Cobden

Total Number of Beds: 74	Percent of Occupied Beds: 95%
Total Number of Residents: 70	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: 09/18/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.16

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.52

Number of CNA Hours per Nursing Home Resident per Day: 1.14

Number of Staff Hours per Nursing Home Resident per Day: 1.82

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 2%
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: 4%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 0%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 15%
Percent of Residents Who are More Depressed or Anxious: 7%
Percent of Residents Who Were Physically Restrained: 18%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 45%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 0%
Percent of Residents With a Urinary Tract Infection: 2%
** Details Last Reported on: 9/18/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-09-14	2002-01-03	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Widespread	Potential for minimal harm
2001-09-14	2001-10-30	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
2002-08-23	2002-10-07	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Pattern	Potential for minimal harm
2002-08-23	2002-09-12	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
2002-08-23	2002-10-07	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	Pattern	Potential for minimal harm
2002-08-23	2002-09-12	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
2002-08-23	2002-09-09	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
2002-08-23	2002-09-06	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2002-08-23	2002-09-03	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
2002-08-23	2002-09-13	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2002-08-23	2002-09-10	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
2002-08-23	2002-09-12	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
2002-08-23	2002-10-07	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Potential for minimal harm
2002-08-23	2002-09-12	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
2002-08-23	2002-09-10	Pharmacy Service Deficiencies	Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects.	Isolated	Minimal harm or potential for actual harm
2002-08-23	2002-10-07	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
2002-08-23	2002-09-06	Quality Care Deficiencies	Give or get special rehabilitation if in the patient's plan of care.	Pattern	Minimal harm or potential for actual harm
2002-08-23	2002-10-07	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Pattern	Potential for minimal harm
2002-08-23	2002-10-07	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Potential for minimal harm
2002-08-23	2002-10-07	Environmental Deficiencies	Have enough outside airflow.	Pattern	Potential for minimal harm
2002-08-23	2002-10-07	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Widespread	Potential for minimal harm
2003-09-18	2003-10-30	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Widespread	Potential for minimal harm
2003-09-18	2003-10-30	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Widespread	Potential for minimal harm
2003-09-18	2003-10-30	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Widespread	Potential for minimal harm
2003-09-18	2003-10-21	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
2003-09-18	2003-10-21	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.	Isolated	Minimal harm or potential for actual harm
2003-09-18	2003-10-21	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2003-09-18	2003-10-21	Quality Care Deficiencies	Give or get special rehabilitation if in the patient's plan of care.	Isolated	Minimal harm or potential for actual harm
2003-09-18	2003-10-21	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Pattern	Minimal harm or potential for actual harm
2003-09-18	2003-10-30	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Potential for minimal harm

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