Forest Hill Manor

Total Number of Beds: 45	Percent of Occupied Beds: 96%
Total Number of Residents: 43	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 03/14/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.12

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.1

Number of CNA Hours per Nursing Home Resident per Day: 3.23

Number of Staff Hours per Nursing Home Resident per Day: 4.45

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 5%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 26%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 3%
Percent of Short-Stay Residents With Delirium: 4%
Percent of Residents Who Were Physically Restrained: 3%
Percent of Residents With a Urinary Tract Infection: 10%
** Details Last Reported on: 3/14/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-01-24	2002-02-07	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Potential for minimal harm
2002-01-24	2002-03-01	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Widespread	Potential for minimal harm
2002-01-24	2002-03-01	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
2002-01-24	2002-02-21	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
2003-03-14	2003-04-28	Resident Rights Deficiencies	Provide enough notice before discharging or transferring a resident.	Widespread	Potential for minimal harm
2003-03-14	2003-03-28	Resident Rights Deficiencies	Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.	Widespread	Potential for minimal harm
2003-03-14	2003-03-31	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Potential for minimal harm
2003-03-14	2003-03-15	Administration Deficiencies	Follow all laws and professional standards.	Widespread	Potential for minimal harm
2003-03-14	2003-04-04	Administration Deficiencies	Keep accurate and appropriate medical records.	Widespread	Potential for minimal harm

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