Childrens Specialized Hospital Mountainside

Total Number of Beds: 27	Percent of Occupied Beds: 100%
Total Number of Residents: 27	Located Within a Hospital: Yes
Type of Ownership: Non profit - Other	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Family	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 10/02/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.13

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.74

Number of CNA Hours per Nursing Home Resident per Day: 3.21

Number of Staff Hours per Nursing Home Resident per Day: 5.08

Nursing Home Resident Information**:

Percent of High-Risk Residents Who Have Pressure Sores: 0%
Percent of Residents Who Have Moderate to Severe Pain: 0%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 0%
Percent of Residents Who are More Depressed or Anxious: 0%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 4%
Percent of Residents With a Urinary Tract Infection: 0%
** Details Last Reported on: 10/2/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-09-26	2001-10-31	Quality Care Deficiencies	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Pattern	Minimal harm or potential for actual harm
2002-09-16	2002-12-15	Quality Care Deficiencies	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Isolated	Minimal harm or potential for actual harm
2003-10-02	2003-10-06	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Isolated	Minimal harm or potential for actual harm

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