| Total Number of Beds: 47 | Percent of Occupied Beds: 98% |
| Total Number of Residents: 46 | Located Within a Hospital: No |
| 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 and Medicaid |
| * Details Last Reported on: 09/09/2002 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 1 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0 |
| Number of CNA Hours per Nursing Home Resident per Day: 3.03 |
| Number of Staff Hours per Nursing Home Resident per Day: 4.03 |
Nursing Home Resident Information**:
Percent of Residents Who Have Moderate to Severe Pain: 2%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 0%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 21%
Percent of Residents Who are More Depressed or Anxious: 27%
Percent of Residents Who Were Physically Restrained: 0%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 50%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 3%
Percent of Residents With a Urinary Tract Infection: 17%
** Details Last Reported on: 9/9/2002
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-09-09 |
2002-10-10 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-09-09 |
2002-10-10 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
