Galesburg Cottage Hospital

Total Number of Beds: 31	Percent of Occupied Beds: 19%
Total Number of Residents: 6	Located Within a Hospital: Yes
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 08/19/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 7.52

Number of LPN/LVN Hours per Nursing Home Resident per Day: 4.98

Number of CNA Hours per Nursing Home Resident per Day: 6.38

Number of Staff Hours per Nursing Home Resident per Day: 18.88

Nursing Home Resident Information**:

Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 26%
Percent of Short-Stay Residents With Delirium: 9%
** Details Last Reported on: 8/19/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-11-06	2001-12-26	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2001-11-06	2001-12-26	Quality Care Deficiencies	Give the right treatment and services to residents who have mental or social problems adjusting.	Isolated	Minimal harm or potential for actual harm
2003-08-19	2003-09-30	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Isolated	Minimal harm or potential for actual harm
2003-08-19	2003-08-19	Administration Deficiencies	Follow all laws and professional standards.	Widespread	Potential for minimal harm

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