Payson Nursing and Rehab

Total Number of Beds: 40	Percent of Occupied Beds: 75%
Total Number of Residents: 30	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 08/27/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.44

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.7

Number of CNA Hours per Nursing Home Resident per Day: 2.22

Number of Staff Hours per Nursing Home Resident per Day: 3.36

Nursing Home Resident Information**:

** Details Last Reported on: 8/27/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-06-21	2001-08-22	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2001-06-21	2001-07-15	Resident Assessment Deficiencies	Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress.	Pattern	Minimal harm or potential for actual harm
2002-07-10	2002-07-15	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	Pattern	Potential for minimal harm
2003-08-27	2003-09-17	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	Pattern	Minimal harm or potential for actual harm
2003-08-27	2003-09-17	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2003-08-27	2003-09-17	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2003-08-27	2003-09-17	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm

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