Roosevelt Memorial Nursing Home

Total Number of Beds: 42	Percent of Occupied Beds: 79%
Total Number of Residents: 33	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: 03/13/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.3

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

Number of CNA Hours per Nursing Home Resident per Day: 2.57

Number of Staff Hours per Nursing Home Resident per Day: 3.43

Nursing Home Resident Information**:

Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 6%
Percent of Residents Who Were Physically Restrained: 6%
Percent of Residents With a Urinary Tract Infection: 18%
** Details Last Reported on: 3/13/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2000-10-05	2001-01-23	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Minimal harm or potential for actual harm
2000-10-05	2001-01-23	Resident Assessment Deficiencies	Develop a plan with the resident and family for the resident's care after leaving the nursing home.	Isolated	Minimal harm or potential for actual harm
2000-10-05	2001-01-23	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.	Pattern	Minimal harm or potential for actual harm
2000-10-05	2001-01-23	Administration Deficiencies	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
2001-12-05	2002-02-11	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
2003-03-13	2003-06-03	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Isolated	Minimal harm or potential for actual harm
2003-03-13	2003-06-03	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Isolated	Minimal harm or potential for actual harm

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