Penobscot Valley Hospital - Skilled Nursing Facility

Total Number of Beds: 9	Percent of Occupied Beds: 33%
Total Number of Residents: 3	Located Within a Hospital: Yes
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 06/05/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 7.43

Number of LPN/LVN Hours per Nursing Home Resident per Day: 3.23

Number of CNA Hours per Nursing Home Resident per Day: 9.52

Number of Staff Hours per Nursing Home Resident per Day: 20.18

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 8%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 41%
Percent of Short-Stay Residents With Delirium: 11%
** Details Last Reported on: 6/5/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-06-06	2001-06-17	Resident Rights Deficiencies	Let the resident refuse treatment or refuse to take part in an experiment.	Widespread	Minimal harm or potential for actual harm
2001-06-06	2001-06-17	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Widespread	Immediate jeopardy to resident health or safety
2001-06-06	2001-06-17	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Potential for minimal harm
2002-08-06	2002-08-16	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
2002-08-06	2002-09-24	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Potential for minimal harm
2002-08-06	2002-08-16	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Isolated	Minimal harm or potential for actual harm
2003-06-05	2003-06-05	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
2003-06-05	2003-07-14	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm

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