Deaconess Hospital, Skilled Nursing Facility

Total Number of Beds: 22	Percent of Occupied Beds: 73%
Total Number of Residents: 16	Located Within a Hospital: Yes
Type of Ownership: Non profit - Church related	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 04/01/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.2

Number of LPN/LVN Hours per Nursing Home Resident per Day: 3.75

Number of CNA Hours per Nursing Home Resident per Day: 4.02

Number of Staff Hours per Nursing Home Resident per Day: 8.97

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 29%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 40%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 4/1/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2003-04-01	2003-04-18	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2003-04-01	2003-04-18	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2003-04-01	2003-04-18	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2003-04-01	2003-04-18	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Isolated	Minimal harm or potential for actual harm
2003-04-01	2003-04-18	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	Pattern	Minimal harm or potential for actual harm
2003-04-01	2003-04-02	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Immediate jeopardy to resident health or safety

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