Shands Jacksonville Medical Center

Total Number of Beds: 27	Percent of Occupied Beds: 89%
Total Number of Residents: 24	Located Within a Hospital: Yes
Type of Ownership: Non 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: 07/03/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.48

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1

Number of CNA Hours per Nursing Home Resident per Day: 1.67

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

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 34%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 35%
Percent of Short-Stay Residents With Delirium: 3%
** Details Last Reported on: 7/3/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-09-06	2001-10-09	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Potential for minimal harm
2001-09-06	2001-10-09	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Isolated	Minimal harm or potential for actual harm
2001-09-06	2001-10-09	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
2001-09-06	2001-10-09	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
2001-09-06	2001-10-09	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Actual harm
2001-09-06	2001-10-09	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Widespread	Minimal harm or potential for actual harm
2001-09-06	2001-10-09	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	Isolated	Minimal harm or potential for actual harm
2001-09-06	2001-10-09	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2001-09-06	2001-10-09	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
2001-09-06	2001-10-09	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Pattern	Minimal harm or potential for actual harm
2002-06-07	2002-07-15	Resident Rights Deficiencies	Provide care for each resident in a way that keeps or builds the resident's quality of life.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-07-15	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
2002-06-07	2002-07-15	Nutrition and Dietary Deficiencies	Provide food in a way that meets a resident's needs.	Widespread	Minimal harm or potential for actual harm
2003-07-03	2003-08-05	Nutrition and Dietary Deficiencies	Provide food in a way that meets a resident's needs.	Isolated	Minimal harm or potential for actual harm
2003-07-03	2003-08-05	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	Isolated	Minimal harm or potential for actual harm

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