| Total Number of Beds: 49 | Percent of Occupied Beds: 94% |
| Total Number of Residents: 46 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Corporation | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: None | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 12/05/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 1.78 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.1 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.67 |
| Number of Staff Hours per Nursing Home Resident per Day: 5.55 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 15%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 22%
Percent of Short-Stay Residents With Delirium: 1%
** Details Last Reported on: 12/5/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-11-30 |
2001-12-30 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Pattern |
Potential for minimal harm |
| 2003-12-05 |
2004-01-04 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Potential for minimal harm |
| 2003-12-05 |
2004-01-04 |
Pharmacy Service Deficiencies |
Provide drugs and related services needed by each resident. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
