Jefferson Memorial Hospital

Total Number of Beds: 18	Percent of Occupied Beds: 67%
Total Number of Residents: 12	Located Within a Hospital: Yes
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 10/22/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.39

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.36

Number of CNA Hours per Nursing Home Resident per Day: 2.01

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

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 23%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 10/22/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-07-20	0000-00-00	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2001-07-20	0000-00-00	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Pattern	Minimal harm or potential for actual harm
2001-07-20	0000-00-00	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.	Pattern	Minimal harm or potential for actual harm
2001-07-20	0000-00-00	Quality Care Deficiencies	Give the right treatment and services to residents who have mental or social problems adjusting.	Pattern	Minimal harm or potential for actual harm
2001-07-20	0000-00-00	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Pattern	Minimal harm or potential for actual harm
2001-07-20	0000-00-00	Administration Deficiencies	Hold committee meetings every 3 months to review and ensure quality in the nursing home.	Pattern	Minimal harm or potential for actual harm
2002-08-20	0000-00-00	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2002-08-20	0000-00-00	Quality Care Deficiencies	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Pattern	Minimal harm or potential for actual harm
2002-08-20	0000-00-00	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	Widespread	Potential for minimal harm
2003-10-22	2004-02-10	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2003-10-22	2004-02-10	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2003-10-22	2004-02-10	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2003-10-22	2004-02-10	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
2003-10-22	2004-02-10	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Isolated	Minimal harm or potential for actual harm
2003-10-22	2004-02-10	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
2003-10-22	2004-02-10	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.