Libertyville Manor Extended Care

Total Number of Beds: 31	Percent of Occupied Beds: 35%
Total Number of Residents: 11	Located Within a Hospital: No
Type of Ownership: For 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: 03/19/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.83

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0

Number of CNA Hours per Nursing Home Resident per Day: 3.17

Number of Staff Hours per Nursing Home Resident per Day: 6

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 23%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 48%
Percent of Short-Stay Residents With Delirium: 4%
** Details Last Reported on: 3/19/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-01-25	2002-04-12	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Isolated	Minimal harm or potential for actual harm
2002-01-25	2002-04-12	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2003-03-19	2003-04-26	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm

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