| Total Number of Beds: 15 | Percent of Occupied Beds: 73% |
| Total Number of Residents: 11 | Located Within a Hospital: No |
| Type of Ownership: Non profit - Church related | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: None | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 06/17/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: |
| Number of CNA Hours per Nursing Home Resident per Day: |
| Number of Staff Hours per Nursing Home Resident per Day: |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 50%
Percent of Short-Stay Residents With Delirium: 8%
** Details Last Reported on: 6/17/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-09-06 |
2001-10-06 |
Quality Care Deficiencies |
Provide activities to meet the needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-06-17 |
2003-06-26 |
Administration Deficiencies |
Get proof that a nurse aide has the training and skills that the State requires. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.
