St Alexius Hospital - Jefferson Campus

Total Number of Beds: 30	Percent of Occupied Beds: 60%
Total Number of Residents: 18	Located Within a Hospital: Yes
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 07/17/2002

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.51

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.68

Number of CNA Hours per Nursing Home Resident per Day: 2.51

Number of Staff Hours per Nursing Home Resident per Day: 6.7

Nursing Home Resident Information**:

** Details Last Reported on: 7/17/2002

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-05-09	0000-00-00	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2002-07-17	0000-00-00	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Potential for minimal harm
2002-07-17	0000-00-00	Resident Rights Deficiencies	Let each resident choose a personal doctor.	Isolated	Minimal harm or potential for actual harm
2002-07-17	0000-00-00	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	Widespread	Potential for minimal harm
2002-07-17	0000-00-00	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Pattern	Minimal harm or potential for actual harm
2002-07-17	0000-00-00	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
2002-07-17	0000-00-00	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Potential for minimal harm

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