| Total Number of Beds: 14 | Percent of Occupied Beds: 86% |
| Total Number of Residents: 12 | 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 Only |
| * Details Last Reported on: 09/07/2000 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 3.26 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.19 |
| Number of CNA Hours per Nursing Home Resident per Day: 5.13 |
| Number of Staff Hours per Nursing Home Resident per Day: 9.58 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 59%
Percent of Short-Stay Residents With Delirium: 5%
** Details Last Reported on: 9/7/2000
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 1998-11-10 |
1999-02-28 |
Resident Rights Deficiencies |
Provide services to meet the needs and preferences of each resident. |
Widespread |
Potential for minimal harm |
| 1999-10-07 |
1999-11-04 |
Environmental Deficiencies |
Make sure that the nursing home area is free of dangers that cause accidents. |
Isolated |
Minimal harm or potential for actual harm |
| 2000-09-07 |
2000-09-21 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
