Susan B Allen Memorial Hospital Skilled Nursing Facility

Total Number of Beds: 21	Percent of Occupied Beds: 57%
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 Only
* Details Last Reported on: 12/18/2002

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 3.7

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.96

Number of CNA Hours per Nursing Home Resident per Day: 3.58

Number of Staff Hours per Nursing Home Resident per Day: 8.24

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 21%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 42%
Percent of Short-Stay Residents With Delirium: 4%
** Details Last Reported on: 12/18/2002

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-01-18	2001-02-26	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2001-01-18	2001-02-26	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
2002-12-18	2003-01-15	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2002-12-18	2003-01-15	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm

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