Holly Manor Nursing Home

Total Number of Beds: 30	Percent of Occupied Beds: 83%
Total Number of Residents: 25	Located Within a Hospital: No
Type of Ownership: For 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: 01/30/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.66

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.8

Number of CNA Hours per Nursing Home Resident per Day: 1.76

Number of Staff Hours per Nursing Home Resident per Day: 3.22

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 23%
Percent of Short-Stay Residents With Delirium: 7%
** Details Last Reported on: 1/30/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2003-01-30	0000-00-00	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm

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