Chowan Hospital - Skilled Nursing Facility

Total Number of Beds: 40	Percent of Occupied Beds: 78%
Total Number of Residents: 31	Located Within a Hospital: Yes
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 06/04/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.49

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.45

Number of CNA Hours per Nursing Home Resident per Day: 3.28

Number of Staff Hours per Nursing Home Resident per Day: 5.22

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 8%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 20%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 6/4/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-05	2001-04-19	Resident Rights Deficiencies	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	Widespread	Potential for minimal harm
2001-04-05	2001-05-16	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2003-06-04	2003-07-01	Resident Rights Deficiencies	Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care.	Pattern	Minimal harm or potential for actual harm
2003-06-04	2003-07-01	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2003-06-04	2003-07-01	Resident Assessment Deficiencies	Keep assessments completed in the preceding 15 months in the resident's active record.	Widespread	Potential for minimal harm

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