South Suburban Hospital

Total Number of Beds: 41	Percent of Occupied Beds: 100%
Total Number of Residents: 41	Located Within a Hospital: Yes
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: 03/07/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.5

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.92

Number of CNA Hours per Nursing Home Resident per Day: 1.87

Number of Staff Hours per Nursing Home Resident per Day: 5.29

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 38%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 19%
Percent of Short-Stay Residents With Delirium: 8%
** Details Last Reported on: 3/7/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-05-03	2002-06-17	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Widespread	Potential for minimal harm
2002-05-03	2002-06-17	Quality Care Deficiencies	Give each resident a special diet to help when there is a nutritional problem.	Isolated	Minimal harm or potential for actual harm
2002-05-03	2002-06-17	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2003-03-07	2003-04-24	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2003-03-07	2003-04-24	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
2003-03-07	0000-00-00	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Pattern	Potential for minimal harm

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