Usc University Hospital Skilled Nursing Facility Dp

Total Number of Beds: 16	Percent of Occupied Beds: 100%
Total Number of Residents: 16	Located Within a Hospital: Yes
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 11/02/2001

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day:

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

Number of CNA Hours per Nursing Home Resident per Day:

Number of Staff Hours per Nursing Home Resident per Day:

Nursing Home Resident Information**:

** Details Last Reported on: 11/2/2001

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
1999-07-16	1999-08-23	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Potential for minimal harm
1999-07-16	1999-08-23	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
1999-07-16	1999-08-23	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Potential for minimal harm
2000-09-21	2000-11-06	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
2000-09-21	2000-11-06	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Potential for minimal harm
2001-11-02	2001-12-10	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Potential for minimal harm
2001-11-02	2001-12-10	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
2001-11-02	2001-12-10	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Potential for minimal harm
2001-11-02	2001-12-10	Environmental Deficiencies	Have enough backup water supply for important areas of the nursing home.	Pattern	Potential for minimal harm

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