| Total Number of Beds: 29 | Percent of Occupied Beds: 55% |
| Total Number of Residents: 16 | 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: 10/14/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 3.12 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 3.46 |
| Number of CNA Hours per Nursing Home Resident per Day: 3.73 |
| Number of Staff Hours per Nursing Home Resident per Day: 10.31 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 17%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 46%
Percent of Short-Stay Residents With Delirium: 8%
** Details Last Reported on: 10/14/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-01-10 |
0000-00-00 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
