| Total Number of Beds: 24 | Percent of Occupied Beds: 71% |
| Total Number of Residents: 17 | Located Within a Hospital: Yes |
| Type of Ownership: Government - County | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: None | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 03/11/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 2.4 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.41 |
| Number of CNA Hours per Nursing Home Resident per Day: 3.05 |
| Number of Staff Hours per Nursing Home Resident per Day: 6.86 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 13%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 58%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 3/11/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-04-29 |
2002-05-09 |
Quality Care Deficiencies |
Give professional services that meet a professional standard of quality. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-04-29 |
2002-05-09 |
Administration Deficiencies |
Keep accurate and appropriate medical records. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.