Healthcare Center at Forum Knight

Total Number of Beds: 12	Percent of Occupied Beds: 92%
Total Number of Residents: 11	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 07/31/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.86

Number of LPN/LVN Hours per Nursing Home Resident per Day: 4.23

Number of CNA Hours per Nursing Home Resident per Day: 9.14

Number of Staff Hours per Nursing Home Resident per Day: 16.23

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 36%
Percent of Short-Stay Residents With Delirium: 7%
** Details Last Reported on: 7/31/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-03-22	2001-05-11	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
2001-03-22	2001-05-11	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Pattern	Potential for minimal harm
2001-03-22	2001-05-11	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
2001-03-22	2001-05-11	Quality Care Deficiencies	Give each resident a special diet to help when there is a nutritional problem.	Isolated	Minimal harm or potential for actual harm
2002-05-09	2002-06-07	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
2003-07-31	0000-00-00	Environmental Deficiencies	Get rid of garbage properly.	Widespread	Potential for minimal harm

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