White Birch Nursing Home

Total Number of Beds: 44	Percent of Occupied Beds: 82%
Total Number of Residents: 36	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 05/20/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.31

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.72

Number of CNA Hours per Nursing Home Resident per Day: 2.6

Number of Staff Hours per Nursing Home Resident per Day: 3.63

Nursing Home Resident Information**:

Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 10%
Percent of Short-Stay Residents With Delirium: 4%
** Details Last Reported on: 5/20/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-09-14	2001-10-30	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Isolated	Minimal harm or potential for actual harm
2001-09-14	2001-10-30	Resident Assessment Deficiencies	Keep assessments completed in the preceding 15 months in the resident's active record.	Widespread	Minimal harm or potential for actual harm
2001-09-14	2001-10-30	Resident Assessment Deficiencies	Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress.	Widespread	Minimal harm or potential for actual harm
2001-09-14	2001-10-30	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Isolated	Minimal harm or potential for actual harm
2001-09-14	2001-10-30	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
2001-09-14	2001-10-30	Pharmacy Service Deficiencies	Act when the pharmacist reports something unusual.	Pattern	Minimal harm or potential for actual harm
2001-09-14	2001-10-30	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Pattern	Minimal harm or potential for actual harm
2001-09-14	2001-10-30	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Pattern	Minimal harm or potential for actual harm
2002-06-13	2002-07-10	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2002-06-13	2002-07-10	Administration Deficiencies	Hire nurse aides who have completed required training and shown that they are skilled.	Pattern	Minimal harm or potential for actual harm
2003-05-20	2003-05-28	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
2003-05-20	2003-05-28	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
2003-05-20	2003-05-28	Pharmacy Service Deficiencies	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm

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