Holmes Lake Manor

Total Number of Beds: 19	Percent of Occupied Beds: 74%
Total Number of Residents: 14	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 05/29/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.77

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.13

Number of CNA Hours per Nursing Home Resident per Day: 16.93

Number of Staff Hours per Nursing Home Resident per Day: 21.83

Nursing Home Resident Information**:

** Details Last Reported on: 5/29/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2003-05-29	2003-07-29	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2003-05-29	2003-07-29	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	Isolated	Minimal harm or potential for actual harm

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