Southside Regional Medical Center

Total Number of Beds: 20	Percent of Occupied Beds: 85%
Total Number of Residents: 17	Located Within a Hospital: Yes
Type of Ownership: Non profit - Other	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 01/28/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.78

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.54

Number of CNA Hours per Nursing Home Resident per Day: 1.63

Number of Staff Hours per Nursing Home Resident per Day: 4.95

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 33%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 36%
Percent of Short-Stay Residents With Delirium: 14%
** Details Last Reported on: 1/28/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-03-08	2001-03-19	Resident Assessment Deficiencies	Keep assessments completed in the preceding 15 months in the resident's active record.	Pattern	Potential for minimal harm
2001-03-08	2001-03-23	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	Potential for minimal harm
2002-02-27	0000-00-00	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
2002-02-27	0000-00-00	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Pattern	Potential for minimal harm
2003-01-28	2003-03-26	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Pattern	Minimal harm or potential for actual harm
2003-01-28	2003-03-26	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Widespread	Minimal harm or potential for actual harm
2003-01-28	2003-03-26	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
2003-01-28	2003-03-26	Pharmacy Service Deficiencies	Make sure that residents are safe from serious medication errors.	Widespread	Immediate jeopardy to resident health or safety
2003-01-28	2003-03-26	Administration Deficiencies	Get services outside the nursing home that meet professional standards.	Widespread	Minimal harm or potential for actual harm
2003-01-28	2003-03-26	Administration Deficiencies	Hold committee meetings every 3 months to review and ensure quality in the nursing home.	Widespread	Minimal harm or potential for actual harm

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