| Total Number of Beds: 10 | Percent of Occupied Beds: 60% |
| Total Number of Residents: 6 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Church related | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 04/16/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 5.48 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 3.86 |
| Number of CNA Hours per Nursing Home Resident per Day: 1.28 |
| Number of Staff Hours per Nursing Home Resident per Day: 10.62 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 40%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 29%
Percent of Short-Stay Residents With Delirium: 22%
** Details Last Reported on: 4/16/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-04-16 |
2003-07-10 |
Pharmacy Service Deficiencies |
Make sure that residents are safe from serious medication errors. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.