| Total Number of Beds: 14 | Percent of Occupied Beds: 57% |
| Total Number of Residents: 8 | 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 and Medicaid |
| * Details Last Reported on: 06/25/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 3.86 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.46 |
| Number of CNA Hours per Nursing Home Resident per Day: 3 |
| Number of Staff Hours per Nursing Home Resident per Day: 7.32 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 23%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 61%
Percent of Short-Stay Residents With Delirium: 2%
** Details Last Reported on: 6/25/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-05-30 |
2002-07-02 |
Resident Rights Deficiencies |
Allow residents to easily see the results of the nursing home's most recent survey. |
Widespread |
Potential for minimal harm |
| 2002-05-30 |
2002-07-02 |
Pharmacy Service Deficiencies |
Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing. |
Widespread |
Minimal harm or potential for actual harm |
| 2002-05-30 |
2002-07-02 |
Pharmacy Service Deficiencies |
Act when the pharmacist reports something unusual. |
Widespread |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
