Claxton - Hepburn Medical Center Residential Health Care Facility

Total Number of Beds: 29	Percent of Occupied Beds: 86%
Total Number of Residents: 25	Located Within a Hospital: Yes
Type of Ownership: Non 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: 04/03/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.9

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.48

Number of CNA Hours per Nursing Home Resident per Day: 3.93

Number of Staff Hours per Nursing Home Resident per Day: 6.31

Nursing Home Resident Information**:

** Details Last Reported on: 4/3/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-20	2001-07-17	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2001-04-20	2001-07-17	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.	Pattern	Minimal harm or potential for actual harm
2001-04-20	2001-07-17	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
2001-04-20	2001-07-17	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Isolated	Minimal harm or potential for actual harm
2002-03-26	2002-05-29	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
2002-03-26	2002-05-29	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Minimal harm or potential for actual harm
2002-03-26	2002-05-29	Quality Care Deficiencies	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.	Isolated	Minimal harm or potential for actual harm
2002-03-26	2002-05-29	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Isolated	Minimal harm or potential for actual harm
2002-03-26	2002-05-29	Environmental Deficiencies	Have enough outside airflow.	Widespread	Potential for minimal harm
2003-04-03	2003-05-30	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	Pattern	Potential for minimal harm
2003-04-03	2003-05-30	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Pattern	Minimal harm or potential for actual harm
2003-04-03	2003-05-16	Quality Care Deficiencies	Give or get emergency care by a doctor 24 hours a day.	Pattern	Minimal harm or potential for actual harm

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