| Total Number of Beds: 13 | Percent of Occupied Beds: 100% |
| Total Number of Residents: 13 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Corporation | Multiple Nursing Homes by Same Owner: No |
| 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: 2.15 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.28 |
| Number of CNA Hours per Nursing Home Resident per Day: 1.72 |
| Number of Staff Hours per Nursing Home Resident per Day: 5.15 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 44%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 24%
Percent of Short-Stay Residents With Delirium: 8%
** Details Last Reported on: 3/20/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-03-20 |
0000-00-00 |
Environmental Deficiencies |
Get rid of garbage properly. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.
