| Total Number of Beds: 16 | Percent of Occupied Beds: 88% |
| Total Number of Residents: 14 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Other | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 04/22/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 1.49 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 3.55 |
| Number of CNA Hours per Nursing Home Resident per Day: 3.4 |
| Number of Staff Hours per Nursing Home Resident per Day: 8.44 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 22%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 30%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 4/22/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-04-10 |
2001-05-25 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
