Wintersong Village of Hayesville

Total Number of Beds: 22	Percent of Occupied Beds: 73%
Total Number of Residents: 16	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	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: 12/18/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.71

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.08

Number of CNA Hours per Nursing Home Resident per Day: 2.36

Number of Staff Hours per Nursing Home Resident per Day: 4.15

Nursing Home Resident Information**:

** Details Last Reported on: 12/18/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-08-21	2001-09-04	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2001-08-21	2001-09-04	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2002-10-10	2002-10-11	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
2002-10-10	2002-11-01	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
2002-10-10	2002-11-01	Administration Deficiencies	Get proof that a nurse aide has the training and skills that the State requires.	Isolated	Minimal harm or potential for actual harm
2002-10-10	2002-11-01	Administration Deficiencies	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	Widespread	Potential for minimal harm

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