| Total Number of Beds: 40 | Percent of Occupied Beds: 100% |
| Total Number of Residents: 40 | Located Within a Hospital: Yes |
| Type of Ownership: Government - County | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Family & Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 01/08/2004 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 0.58 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.7 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.13 |
| Number of Staff Hours per Nursing Home Resident per Day: 3.41 |
Nursing Home Resident Information**:
Percent of High-Risk Residents Who Have Pressure Sores: 3%
Percent of Residents Who Have Moderate to Severe Pain: 2%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 27%
Percent of Residents Who are More Depressed or Anxious: 16%
Percent of Residents Who Were Physically Restrained: 16%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 2%
Percent of Residents With a Urinary Tract Infection: 8%
** Details Last Reported on: 1/8/2004
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-09-26 |
2001-11-01 |
Resident Rights Deficiencies |
Let residents give themselves their drugs if they are able. |
Isolated |
Minimal harm or potential for actual harm |
| 2002-10-04 |
2002-10-24 |
Environmental Deficiencies |
Provide needed housekeeping and maintenance. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
