Saint Louise Regional Hospital D/P Skilled Nursing Facility

Total Number of Beds: 21	Percent of Occupied Beds: 43%
Total Number of Residents: 9	Located Within a Hospital: Yes
Type of Ownership: Non profit - Church related	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 12/05/2003

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: 25%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 35%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 12/5/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-12-20	2002-03-01	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
2001-12-20	2002-03-01	Quality Care Deficiencies	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Isolated	Minimal harm or potential for actual harm
2001-12-20	2002-03-01	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Potential for minimal harm
2001-12-20	2002-03-01	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Pattern	Potential for minimal harm
2001-12-20	2002-03-01	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2002-11-05	2002-11-25	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
2002-11-05	2002-11-25	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Pattern	Potential for minimal harm
2003-12-05	0000-00-00	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Potential for minimal harm
2003-12-05	0000-00-00	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	Pattern	Potential for minimal harm
2003-12-05	0000-00-00	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Potential for minimal harm
2003-12-05	0000-00-00	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	Pattern	Potential for minimal harm

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