| Total Number of Beds: 47 | Percent of Occupied Beds: 68% |
| Total Number of Residents: 32 | Located Within a Hospital: No |
| Type of Ownership: For 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: 04/10/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 1.03 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.94 |
| Number of CNA Hours per Nursing Home Resident per Day: 3.44 |
| Number of Staff Hours per Nursing Home Resident per Day: 5.41 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 15%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 31%
Percent of Short-Stay Residents With Delirium: 2%
** Details Last Reported on: 4/10/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-04-10 |
2003-05-15 |
Resident Assessment Deficiencies |
Make a complete assessment that covers all questions for areas that are listed in official regulations. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.