Gibbon Good Samaritan Center

Total Number of Beds: 35	Percent of Occupied Beds: 89%
Total Number of Residents: 31	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 03/31/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.56

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.77

Number of CNA Hours per Nursing Home Resident per Day: 1.76

Number of Staff Hours per Nursing Home Resident per Day: 3.09

Nursing Home Resident Information**:

** Details Last Reported on: 3/31/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-02-27	2002-04-05	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2002-02-27	2002-04-05	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
2002-02-27	2002-04-05	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
2002-02-27	2002-04-05	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2003-03-31	2003-04-14	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm

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