Shady Rest Care Center

Total Number of Beds: 65	Percent of Occupied Beds: 66%
Total Number of Residents: 43	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	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: 10/01/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.19

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.51

Number of CNA Hours per Nursing Home Resident per Day: 1.94

Number of Staff Hours per Nursing Home Resident per Day: 2.64

Nursing Home Resident Information**:

Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 6%
Percent of Residents Who Were Physically Restrained: 12%
Percent of Residents With a Urinary Tract Infection: 12%
** Details Last Reported on: 10/1/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-03-28	2002-05-10	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Pattern	Minimal harm or potential for actual harm
2002-03-28	2002-05-10	Environmental Deficiencies	Provide needed housekeeping and maintenance.	Pattern	Minimal harm or potential for actual harm
2002-03-28	2002-05-10	Environmental Deficiencies	Provide clean bed and bath linens that are in good condition.	Pattern	Minimal harm or potential for actual harm
2002-03-28	2002-05-10	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Minimal harm or potential for actual harm
2002-03-28	2002-05-10	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Isolated	Actual harm
2002-03-28	2002-05-10	Pharmacy Service Deficiencies	Act when the pharmacist reports something unusual.	Isolated	Actual harm
2003-01-23	2003-03-12	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Pattern	Minimal harm or potential for actual harm
2003-01-23	2003-03-12	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Pattern	Minimal harm or potential for actual harm
2003-01-23	2003-03-12	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Potential for minimal harm
2003-01-23	2003-03-12	Resident Assessment Deficiencies	Do an assessment of the resident every year.	Isolated	Minimal harm or potential for actual harm
2003-01-23	2003-03-12	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	Pattern	Minimal harm or potential for actual harm
2003-01-23	2003-03-12	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Potential for minimal harm
2003-01-23	2003-03-12	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Pattern	Minimal harm or potential for actual harm
2003-01-23	2003-03-12	Quality Care Deficiencies	Use a registered nurse at least 8 hours a day, 7 days a week.	Widespread	Potential for minimal harm
2003-01-23	2003-03-12	Nutrition and Dietary Deficiencies	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
2003-01-23	2003-03-12	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Isolated	Minimal harm or potential for actual harm
2003-10-01	2003-11-14	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
2003-10-01	2003-11-14	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
2003-10-01	2003-11-14	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2003-10-01	2003-11-14	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
2003-10-01	2003-11-14	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2003-10-01	2003-11-14	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2003-10-01	2003-11-14	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	Pattern	Minimal harm or potential for actual harm

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