| Total Number of Beds: 18 | Percent of Occupied Beds: 61% |
| Total Number of Residents: 11 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Church related | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: None | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 02/12/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: |
| Number of CNA Hours per Nursing Home Resident per Day: |
| Number of Staff Hours per Nursing Home Resident per Day: |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 18%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 45%
Percent of Short-Stay Residents With Delirium: 4%
** Details Last Reported on: 2/12/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-01-10 |
2001-02-15 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
