| Total Number of Beds: 33 | Percent of Occupied Beds: 97% |
| Total Number of Residents: 32 | Located Within a Hospital: Yes |
| 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: 02/20/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 1.09 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.84 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.13 |
| Number of Staff Hours per Nursing Home Resident per Day: 4.06 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 29%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 30%
Percent of Short-Stay Residents With Delirium: 18%
** Details Last Reported on: 2/20/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-03-15 |
2001-04-19 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-01-17 |
2002-01-31 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
