Pauls Valley General Hospital Skilled Nursing Facility

Total Number of Beds: 8	Percent of Occupied Beds: 50%
Total Number of Residents: 4	Located Within a Hospital: Yes
Type of Ownership: Government - City	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 05/29/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 8.28

Number of LPN/LVN Hours per Nursing Home Resident per Day: 5.43

Number of CNA Hours per Nursing Home Resident per Day: 10

Number of Staff Hours per Nursing Home Resident per Day: 23.71

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 29%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 42%
Percent of Short-Stay Residents With Delirium: 3%
** Details Last Reported on: 5/29/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-06-18	2002-08-13	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
2003-05-29	2003-06-26	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Widespread	Potential for minimal harm
2003-05-29	2003-06-26	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
2003-05-29	2003-06-26	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2003-05-29	2003-06-26	Environmental Deficiencies	Get rid of garbage properly.	Pattern	Minimal harm or potential for actual harm

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