| Total Number of Beds: 44 | Percent of Occupied Beds: 98% |
| Total Number of Residents: 43 | Located Within a Hospital: No |
| Type of Ownership: Non profit - Corporation | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 11/13/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 0.69 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.54 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.26 |
| Number of Staff Hours per Nursing Home Resident per Day: 3.49 |
Nursing Home Resident Information**:
Percent of Residents Who Have Moderate to Severe Pain: 7%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 3%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 6%
Percent of Residents Who are More Depressed or Anxious: 17%
Percent of Residents Who Were Physically Restrained: 0%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 3%
Percent of Residents With a Urinary Tract Infection: 5%
** Details Last Reported on: 11/13/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-09-19 |
2001-10-01 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.
