Stillwater Community Hospital Extended Care

Total Number of Beds: 10	Percent of Occupied Beds: 100%
Total Number of Residents: 10	Located Within a Hospital: Yes
Type of Ownership: Non 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: 03/05/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.18

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.56

Number of CNA Hours per Nursing Home Resident per Day: 1.9

Number of Staff Hours per Nursing Home Resident per Day: 3.64

Nursing Home Resident Information**:

** Details Last Reported on: 3/5/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-06-04	2002-07-19	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm

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