Worth County Convalescent Center

Total Number of Beds: 60	Percent of Occupied Beds: 63%
Total Number of Residents: 38	Located Within a Hospital: No
Type of Ownership: Government - County	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: 04/14/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.47

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.47

Number of CNA Hours per Nursing Home Resident per Day: 2.06

Number of Staff Hours per Nursing Home Resident per Day: 3

Nursing Home Resident Information**:

** Details Last Reported on: 4/14/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2003-04-14	2003-05-15	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm
2003-04-14	2003-05-01	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Potential for minimal harm
2003-04-14	2003-05-27	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Potential for minimal harm
2003-04-14	2003-05-15	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm

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