| Total Number of Beds: 26 | Percent of Occupied Beds: 77% |
| Total Number of Residents: 20 | Located Within a Hospital: Yes |
| Type of Ownership: Government - Hospital district | 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: 12/23/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 3.15 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.69 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.42 |
| Number of Staff Hours per Nursing Home Resident per Day: 7.26 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 34%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 45%
Percent of Short-Stay Residents With Delirium: 1%
** Details Last Reported on: 12/23/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-02-13 |
2002-03-27 |
Resident Rights Deficiencies |
Provide care in a way that keeps or builds each resident's dignity and self respect. |
Pattern |
Minimal harm or potential for actual harm |
| 2002-02-13 |
2002-03-27 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
