Mayo Healthcare Inc.

Total Number of Beds: 50	Percent of Occupied Beds: 100%
Total Number of Residents: 50	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 10/31/2002

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.62

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.7

Number of CNA Hours per Nursing Home Resident per Day: 2.46

Number of Staff Hours per Nursing Home Resident per Day: 3.78

Nursing Home Resident Information**:

Percent of High-Risk Residents Who Have Pressure Sores: 16%
Percent of Residents Who Have Moderate to Severe Pain: 10%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 2%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 16%
Percent of Residents Who are More Depressed or Anxious: 17%
Percent of Residents Who Were Physically Restrained: 8%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 2%
Percent of Residents With a Urinary Tract Infection: 2%
** Details Last Reported on: 10/31/2002

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-10-31	2002-11-18	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
2002-10-31	2002-11-18	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.