University Medical Center Skilled Nursing Facility

Total Number of Beds: 12	Percent of Occupied Beds: 75%
Total Number of Residents: 9	Located Within a Hospital: Yes
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 06/04/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 3.71

Number of LPN/LVN Hours per Nursing Home Resident per Day: 3.65

Number of CNA Hours per Nursing Home Resident per Day: 0.32

Number of Staff Hours per Nursing Home Resident per Day: 7.68

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 29%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 54%
Percent of Short-Stay Residents With Delirium: 3%
** Details Last Reported on: 6/4/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-08-13	2001-08-27	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2002-07-08	2002-08-22	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2002-07-08	2002-08-22	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Widespread	Potential for minimal harm
2002-07-08	2002-08-22	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Isolated	Minimal harm or potential for actual harm
2002-07-08	2002-08-22	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Pattern	Minimal harm or potential for actual harm
2003-06-04	2003-07-07	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2003-06-04	2003-07-07	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2003-06-04	2003-07-07	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm

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