Berkeley Square Retirement Center

Total Number of Beds: 12	Percent of Occupied Beds: 83%
Total Number of Residents: 10	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 04/10/2003

Nursing Home Staff Information:

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

Number of LPN/LVN Hours per Nursing Home Resident per Day: 3.6

Number of CNA Hours per Nursing Home Resident per Day: 2.4

Number of Staff Hours per Nursing Home Resident per Day: 9.09

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 24%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 14%
Percent of Short-Stay Residents With Delirium: 5%
** Details Last Reported on: 4/10/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-04-11	2002-06-27	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm

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