Colonial Poplin Nursing Home

Total Number of Beds: 20	Percent of Occupied Beds: 65%
Total Number of Residents: 13	Located Within a Hospital: No
Type of Ownership: For 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: 04/03/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.21

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.27

Number of CNA Hours per Nursing Home Resident per Day: 3.31

Number of Staff Hours per Nursing Home Resident per Day: 5.79

Nursing Home Resident Information**:

** Details Last Reported on: 4/3/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-06-11	2002-10-07	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Pattern	Minimal harm or potential for actual harm
2002-06-11	2002-07-26	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
2003-04-03	2003-05-29	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2003-04-03	2003-05-29	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm
2003-04-03	2003-05-29	Administration Deficiencies	Follow all laws and professional standards.	Isolated	Minimal harm or potential for actual harm
2003-04-03	2003-05-29	Administration Deficiencies	Give or get lab tests to meet the needs of residents.	Isolated	Minimal harm or potential for actual harm
2003-04-03	2003-05-29	Administration Deficiencies	Give or get lab tests by a certified laboratory.	Isolated	Minimal harm or potential for actual harm

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