Liberty Hospital

Total Number of Beds: 12	Percent of Occupied Beds: 92%
Total Number of Residents: 11	Located Within a Hospital: Yes
Type of Ownership: Government - Hospital district	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 01/29/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 4.41

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.2

Number of CNA Hours per Nursing Home Resident per Day: 3

Number of Staff Hours per Nursing Home Resident per Day: 9.61

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 43%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 51%
Percent of Short-Stay Residents With Delirium: 34%
** Details Last Reported on: 1/29/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2000-11-30	2001-01-03	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Pattern	Potential for minimal harm
2000-11-30	2001-01-12	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2001-12-06	0000-00-00	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2001-12-06	0000-00-00	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
2003-01-29	2003-03-05	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm

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