San Simeon By The Sound Inc

Total Number of Beds: 150	Percent of Occupied Beds: 93%
Total Number of Residents: 139	Located Within a Hospital: No
Type of Ownership: Non profit - Church related	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: 05/02/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.54

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.67

Number of CNA Hours per Nursing Home Resident per Day: 2.09

Number of Staff Hours per Nursing Home Resident per Day: 3.3

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 7%
Percent of Short-Stay Residents With Pressure Sores: 32%
Percent of High-Risk Residents Who Have Pressure Sores: 11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 41%
Percent of Residents Who Have Moderate to Severe Pain: 5%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 9%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 1%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 11%
Percent of Residents Who are More Depressed or Anxious: 28%
Percent of Short-Stay Residents With Delirium: 8%
Percent of Residents Who Were Physically Restrained: 6%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 57%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 2%
Percent of Residents With a Urinary Tract Infection: 7%
** Details Last Reported on: 5/2/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-03	2001-06-13	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Widespread	Minimal harm or potential for actual harm
2001-04-03	2001-06-13	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Pattern	Minimal harm or potential for actual harm
2001-04-03	2001-06-13	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
2001-04-03	2001-06-13	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
2001-04-03	2001-06-13	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
2002-03-04	2002-04-01	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2003-05-02	2003-07-07	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
2003-05-02	2003-07-07	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm

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