| Total Number of Beds: 40 | Percent of Occupied Beds: 43% |
| Total Number of Residents: 17 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Corporation | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Family & Resident | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 03/04/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 3.61 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.42 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.72 |
| Number of Staff Hours per Nursing Home Resident per Day: 8.75 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 24%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 65%
Percent of Short-Stay Residents With Delirium: 1%
** Details Last Reported on: 3/4/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-05-31 |
2001-07-16 |
Environmental Deficiencies |
Keep a resident apart from the others if the resident has an infection that can spread. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-04-30 |
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. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-18 |
2002-04-30 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
