Allen Bennett Memorial Hospital Skilled Nursing Facility

Total Number of Beds: 10	Percent of Occupied Beds: 100%
Total Number of Residents: 10	Located Within a Hospital: Yes
Type of Ownership: Non profit - Other	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 01/08/2004

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 3.43

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.57

Number of CNA Hours per Nursing Home Resident per Day: 2.63

Number of Staff Hours per Nursing Home Resident per Day: 6.63

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 5%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 53%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 1/8/2004

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-06-20	2002-07-20	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm
2004-01-08	2004-01-28	Quality Care Deficiencies	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Isolated	Minimal harm or potential for actual harm
2004-01-08	2004-01-28	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
2004-01-08	2004-01-28	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm

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