| Total Number of Beds: 19 | Percent of Occupied Beds: 68% |
| Total Number of Residents: 13 | 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 and Medicaid |
| * Details Last Reported on: 07/03/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 2.3 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.21 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.03 |
| Number of Staff Hours per Nursing Home Resident per Day: 5.54 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 25%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 2%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 7/3/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-07-03 |
2003-07-16 |
Environmental Deficiencies |
Make sure that staff members wash their hands when needed. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
