| Total Number of Beds: 60 | Percent of Occupied Beds: 97% |
| Total Number of Residents: 58 | Located Within a Hospital: No |
| Type of Ownership: Non profit - Other | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicaid Only |
| * Details Last Reported on: 05/15/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 0.32 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.31 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.03 |
| Number of Staff Hours per Nursing Home Resident per Day: 2.66 |
Nursing Home Resident Information**:
Percent of Low-Risk Residents Who Have Pressure Sores: 0%
Percent of Residents Who Have Moderate to Severe Pain: 4%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 5%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 2%
Percent of Residents Who are More Depressed or Anxious: 11%
Percent of Residents Who Were Physically Restrained: 14%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 0%
Percent of Residents With a Urinary Tract Infection: 0%
** Details Last Reported on: 5/15/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
*** All violations listed are based on federal government records.
