| Total Number of Beds: 12 | Percent of Occupied Beds: 83% |
| Total Number of Residents: 10 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Corporation | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Family & Resident | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 07/09/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 3.09 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.07 |
| Number of Staff Hours per Nursing Home Resident per Day: 5.16 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 54%
Percent of Short-Stay Residents With Delirium: 15%
** Details Last Reported on: 7/9/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
*** All violations listed are based on federal government records.
