Three Rivers Healthcare South

Total Number of Beds: 15	Percent of Occupied Beds: 80%
Total Number of Residents: 12	Located Within a Hospital: Yes
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 03/05/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 3.48

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.66

Number of CNA Hours per Nursing Home Resident per Day: 2.15

Number of Staff Hours per Nursing Home Resident per Day: 7.29

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 14%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 27%
Percent of Short-Stay Residents With Delirium: 18%
** Details Last Reported on: 3/5/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-03-27	2001-08-02	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2001-03-27	2001-08-02	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Potential for minimal harm
2002-02-13	2002-07-03	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
2002-02-13	2002-07-03	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
2002-02-13	2002-07-03	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
2002-02-13	2002-07-03	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2002-02-13	2002-07-03	Pharmacy Service Deficiencies	Act when the pharmacist reports something unusual.	Widespread	Potential for minimal harm
2003-03-05	2003-05-06	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Widespread	Potential for minimal harm
2003-03-05	2003-05-06	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Widespread	Potential for minimal harm
2003-03-05	2003-05-06	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Minimal harm or potential for actual harm
2003-03-05	2003-05-06	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Potential for minimal harm

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