Pine Haven Health and Rehabilitation

Total Number of Beds: 97	Percent of Occupied Beds: 93%
Total Number of Residents: 90	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 04/23/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.36

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.27

Number of CNA Hours per Nursing Home Resident per Day: 1.87

Number of Staff Hours per Nursing Home Resident per Day: 3.5

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 0%
Percent of Short-Stay Residents With Pressure Sores: 17%
Percent of High-Risk Residents Who Have Pressure Sores: 10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 22%
Percent of Residents Who Have Moderate to Severe Pain: 4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 12%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 0%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 22%
Percent of Residents Who are More Depressed or Anxious: 26%
Percent of Short-Stay Residents With Delirium: 0%
Percent of Residents Who Were Physically Restrained: 0%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 36%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 16%
Percent of Residents With a Urinary Tract Infection: 15%
** Details Last Reported on: 4/23/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-27	2001-05-25	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Pattern	Minimal harm or potential for actual harm
2001-04-27	0000-00-00	Environmental Deficiencies	Provide bedrooms that hold no more than 4 residents per room.	Pattern	Potential for minimal harm
2001-04-27	0000-00-00	Environmental Deficiencies	Provide rooms that are big enough for each resident.	Pattern	Potential for minimal harm
2002-05-24	2002-06-24	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm

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