| Total Number of Beds: 14 | Percent of Occupied Beds: 79% |
| Total Number of Residents: 11 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Other | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: None | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 06/18/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 2.78 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.1 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.7 |
| Number of Staff Hours per Nursing Home Resident per Day: 7.58 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 35%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 30%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 6/18/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-10-04 |
2001-10-16 |
Environmental Deficiencies |
Have a program to keep infection from spreading. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-07-19 |
0000-00-00 |
Pharmacy Service Deficiencies |
Keep drugs and other similar products locked safely and properly stored. |
Widespread |
Potential for minimal harm |
*** All violations listed are based on federal government records.
