Centennial Medical Center Skilled Nursing Facility

Total Number of Beds: 26	Percent of Occupied Beds: 81%
Total Number of Residents: 21	Located Within a Hospital: Yes
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 02/12/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.9

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.96

Number of CNA Hours per Nursing Home Resident per Day: 1.77

Number of Staff Hours per Nursing Home Resident per Day: 5.63

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 24%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 48%
Percent of Short-Stay Residents With Delirium: 2%
** Details Last Reported on: 2/12/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-07-03	2001-07-23	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
2001-07-03	2001-07-23	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2001-07-03	2001-07-23	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
2002-05-09	2002-06-16	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
2002-05-09	2002-06-16	Environmental Deficiencies	Get rid of garbage properly.	Isolated	Minimal harm or potential for actual harm
2003-02-12	2003-02-28	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2003-02-12	2003-02-28	Environmental Deficiencies	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Isolated	Minimal harm or potential for actual harm

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