Marshall Health Care and Rehab

Total Number of Beds: 60	Percent of Occupied Beds: 97%
Total Number of Residents: 58	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: 03/27/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.6

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.38

Number of CNA Hours per Nursing Home Resident per Day: 3.04

Number of Staff Hours per Nursing Home Resident per Day: 4.02

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 26%
Percent of High-Risk Residents Who Have Pressure Sores: 18%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 15%
Percent of Residents Who Have Moderate to Severe Pain: 1%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 8%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 10%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 8%
Percent of Residents Who are More Depressed or Anxious: 12%
Percent of Short-Stay Residents With Delirium: 6%
Percent of Residents Who Were Physically Restrained: 2%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 55%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 9%
Percent of Residents With a Urinary Tract Infection: 2%
** Details Last Reported on: 3/27/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-10	2001-05-18	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
2001-04-10	2001-05-08	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
2001-04-10	2001-05-25	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Potential for minimal harm
2001-04-10	2001-05-25	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
2001-04-10	2001-05-18	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
2002-03-27	2002-04-02	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Potential for minimal harm
2002-03-27	2002-04-10	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Potential for minimal harm
2002-03-27	2002-04-18	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2002-03-27	2002-04-30	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2002-03-27	2002-04-18	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	Isolated	Minimal harm or potential for actual harm
2002-03-27	2002-04-26	Nutrition and Dietary Deficiencies	Make sure that the attending doctor orders special diets.	Isolated	Minimal harm or potential for actual harm
2002-03-27	2002-04-30	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2002-03-27	2002-04-30	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm
2003-03-27	0000-00-00	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Pattern	Potential for minimal harm
2003-03-27	0000-00-00	Resident Rights Deficiencies	Provide enough notice before discharging or transferring a resident.	Widespread	Potential for minimal harm
2003-03-27	0000-00-00	Resident Rights Deficiencies	Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility.	Widespread	Potential for minimal harm
2003-03-27	0000-00-00	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Pattern	Potential for minimal harm
2003-03-27	0000-00-00	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Potential for minimal harm
2003-03-27	0000-00-00	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Pattern	Minimal harm or potential for actual harm
2003-03-27	0000-00-00	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
2003-03-27	0000-00-00	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2003-03-27	0000-00-00	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2003-03-27	0000-00-00	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	Pattern	Potential for minimal harm
2003-03-27	0000-00-00	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Minimal harm or potential for actual harm

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