| Total Number of Beds: 30 | Percent of Occupied Beds: 77% |
| Total Number of Residents: 23 | 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: 01/08/2004 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 2.7 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.28 |
| Number of CNA Hours per Nursing Home Resident per Day: 1.89 |
| Number of Staff Hours per Nursing Home Resident per Day: 6.87 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 42%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 10%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 1/8/2004
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
*** All violations listed are based on federal government records.
