| Total Number of Beds: 27 | Percent of Occupied Beds: 63% |
| Total Number of Residents: 17 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Church related | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: Family & Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 06/10/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 3.44 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.56 |
| Number of Staff Hours per Nursing Home Resident per Day: 6 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 39%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 38%
Percent of Short-Stay Residents With Delirium: 10%
** Details Last Reported on: 6/10/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-06-10 |
2003-06-30 |
Resident Assessment Deficiencies |
Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. |
Pattern |
Potential for minimal harm |
| 2003-06-10 |
2003-06-30 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
