Jefferson Place

Total Number of Beds: 44	Percent of Occupied Beds: 98%
Total Number of Residents: 43	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 10/29/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.52

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.09

Number of CNA Hours per Nursing Home Resident per Day: 1.79

Number of Staff Hours per Nursing Home Resident per Day: 3.4

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 20%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 22%
Percent of Short-Stay Residents With Delirium: 3%
** Details Last Reported on: 10/29/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-04-04	2002-04-10	Resident Assessment Deficiencies	Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress.	Widespread	Potential for minimal harm
2002-04-04	2002-04-04	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	Isolated	Minimal harm or potential for actual harm
2002-04-04	2002-04-24	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Potential for minimal harm
2002-04-04	2002-04-04	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
2002-04-04	2002-04-04	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
2003-02-20	2003-02-20	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
2003-02-20	2003-02-20	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm
2003-02-20	2003-02-20	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
2003-10-29	2003-11-11	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
2003-10-29	2003-11-11	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm

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