| Total Number of Beds: 104 | Percent of Occupied Beds: 88% |
| Total Number of Residents: 91 | Located Within a Hospital: No |
| Type of Ownership: Non profit - Church related | 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: 04/02/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 0.47 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.29 |
| Number of CNA Hours per Nursing Home Resident per Day: 3.23 |
| Number of Staff Hours per Nursing Home Resident per Day: 3.99 |
Nursing Home Resident Information**:
Percent of Low-Risk Residents Who Have Pressure Sores: 0%
Percent of High-Risk Residents Who Have Pressure Sores: 16%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 0%
Percent of Residents Who Have Moderate to Severe Pain: 6%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 14%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 2%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 32%
Percent of Residents Who are More Depressed or Anxious: 30%
Percent of Short-Stay Residents With Delirium: 0%
Percent of Residents Who Were Physically Restrained: 7%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 56%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 7%
Percent of Residents With a Urinary Tract Infection: 13%
** Details Last Reported on: 4/2/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-02-14 |
0000-00-00 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Pattern |
Potential for minimal harm |
| 2003-04-02 |
2003-05-01 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-04-02 |
2003-05-01 |
Administration Deficiencies |
Set up or keep a group of people to review and ensure quality. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.
