| Total Number of Beds: 17 | Percent of Occupied Beds: 71% |
| Total Number of Residents: 12 | 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: 09/04/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 2.35 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.58 |
| Number of CNA Hours per Nursing Home Resident per Day: 3.19 |
| Number of Staff Hours per Nursing Home Resident per Day: 8.12 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 25%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 28%
Percent of Short-Stay Residents With Delirium: 19%
** Details Last Reported on: 9/4/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-09-04 |
2003-10-27 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-09-04 |
2003-11-13 |
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.
