| Total Number of Beds: 27 | Percent of Occupied Beds: 52% |
| Total Number of Residents: 14 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Church related | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 09/12/2002 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 2.28 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0 |
| Number of CNA Hours per Nursing Home Resident per Day: 0 |
| Number of Staff Hours per Nursing Home Resident per Day: 2.28 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 43%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 30%
Percent of Short-Stay Residents With Delirium: 3%
** Details Last Reported on: 9/12/2002
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-07-12 |
2001-07-27 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Widespread |
Potential for minimal harm |
| 2001-07-12 |
2001-07-27 |
Environmental Deficiencies |
Keep all essential equipment working safely. |
Pattern |
Potential for minimal harm |
| 2001-07-12 |
2001-07-27 |
Administration Deficiencies |
Hold committee meetings every 3 months to review and ensure quality in the nursing home. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.
