| Total Number of Beds: 36 | Percent of Occupied Beds: 31% |
| Total Number of Residents: 11 | Located Within a Hospital: No |
| Type of Ownership: For profit - Corporation | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: Family | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 03/07/2003 |
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: 10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 22%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 3/7/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-01-12 |
2001-02-26 |
Resident Rights Deficiencies |
Keep each resident's personal and medical records private and confidential. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-01-12 |
2001-02-26 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-01-12 |
2001-02-26 |
Administration Deficiencies |
Make sure that nurse aides show they have the skills to be able to care for residents. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
