Snyder Memorial Health Care Center

Total Number of Beds: 100	Percent of Occupied Beds: 99%
Total Number of Residents: 99	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 03/20/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.66

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.87

Number of CNA Hours per Nursing Home Resident per Day: 1.75

Number of Staff Hours per Nursing Home Resident per Day: 3.28

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 7%
Percent of Short-Stay Residents With Pressure Sores: 28%
Percent of High-Risk Residents Who Have Pressure Sores: 19%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 13%
Percent of Residents Who Have Moderate to Severe Pain: 7%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 28%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 2%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 43%
Percent of Residents Who are More Depressed or Anxious: 44%
Percent of Short-Stay Residents With Delirium: 3%
Percent of Residents Who Were Physically Restrained: 19%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 63%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 8%
Percent of Residents With a Urinary Tract Infection: 12%
** Details Last Reported on: 3/20/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-03-08	2001-05-09	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
2001-03-08	2001-05-09	Administration Deficiencies	Hire nurse aides who have shown that they are skilled and care for residents safely on-the-job.	Isolated	Minimal harm or potential for actual harm
2002-02-22	2002-04-19	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
2002-02-22	2002-04-19	Pharmacy Service Deficiencies	Gradually lower the dose of residents' antipsychotic drugs, unless this causes negative medical effects.	Isolated	Minimal harm or potential for actual harm
2002-02-22	2002-04-19	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Potential for minimal harm
2003-03-20	2003-05-23	Quality Care Deficiencies	Give the right treatment and services to residents who have mental or social problems adjusting.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Quality Care Deficiencies	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-06-10	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for each resident who needs them.	Isolated	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2003-03-20	2003-05-23	Pharmacy Service Deficiencies	Act when the pharmacist reports something unusual.	Isolated	Minimal harm or potential for actual harm

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