| Total Number of Beds: 19 | Percent of Occupied Beds: 68% |
| Total Number of Residents: 13 | Located Within a Hospital: Yes |
| Type of Ownership: Non 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: 03/13/2002 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 3.25 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.92 |
| Number of CNA Hours per Nursing Home Resident per Day: 1.54 |
| Number of Staff Hours per Nursing Home Resident per Day: 5.71 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 40%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 50%
Percent of Short-Stay Residents With Delirium: 5%
** Details Last Reported on: 3/13/2002
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.