| Total Number of Beds: 21 | Percent of Occupied Beds: 57% |
| Total Number of Residents: 12 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Corporation | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: None | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 06/30/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 4.98 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.62 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.85 |
| Number of Staff Hours per Nursing Home Resident per Day: 8.45 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 18%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 35%
Percent of Short-Stay Residents With Delirium: 14%
** Details Last Reported on: 6/30/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-05-30 |
2002-07-15 |
Quality Care Deficiencies |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-05-30 |
2002-07-15 |
Quality Care Deficiencies |
Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
