Jacob's Dwelling Nursing Home

Total Number of Beds: 23	Percent of Occupied Beds: 74%
Total Number of Residents: 17	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 Medicaid Only
* Details Last Reported on: 04/10/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.87

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1

Number of CNA Hours per Nursing Home Resident per Day: 2.89

Number of Staff Hours per Nursing Home Resident per Day: 4.76

Nursing Home Resident Information**:

** Details Last Reported on: 4/10/2003

Nursing Home Inspection Violations:

Date of Violation

Date Corrected

Type of Violation

Deficiency

Scope

Level of Harm

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