Mary Evans Extended Care Center

Total Number of Beds: 25	Percent of Occupied Beds: 88%
Total Number of Residents: 22	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 Only
* Details Last Reported on: 01/29/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.37

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.42

Number of CNA Hours per Nursing Home Resident per Day: 0.55

Number of Staff Hours per Nursing Home Resident per Day: 5.34

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 18%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 21%
Percent of Short-Stay Residents With Delirium: 11%
** Details Last Reported on: 1/29/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-03-29	2001-04-09	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
2002-02-27	2002-05-09	Administration Deficiencies	Choose a doctor to be the medical director.	Widespread	Minimal harm or potential for actual harm
2003-01-29	2003-03-10	Resident Rights Deficiencies	Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.	Widespread	Potential for minimal harm
2003-01-29	2003-03-10	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
2003-01-29	2003-03-10	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Widespread	Potential for minimal harm
2003-01-29	2003-03-10	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2003-01-29	2003-03-10	Pharmacy Service Deficiencies	Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects.	Isolated	Minimal harm or potential for actual harm
2003-01-29	2003-03-10	Environmental Deficiencies	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
2003-01-29	2003-03-10	Administration Deficiencies	Get services outside the nursing home that meet professional standards.	Pattern	Potential for minimal harm

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