Village North Retirement & Health Center

Total Number of Beds: 33	Percent of Occupied Beds: 82%
Total Number of Residents: 27	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 06/19/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.95

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.21

Number of CNA Hours per Nursing Home Resident per Day: 2.81

Number of Staff Hours per Nursing Home Resident per Day: 3.97

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 15%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 55%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 6/19/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-05-07	2001-06-19	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Pattern	Potential for minimal harm
2001-05-07	2001-06-19	Quality Care Deficiencies	Give or get dental care for each resident.	Pattern	Potential for minimal harm
2001-05-07	2001-05-25	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Pattern	Minimal harm or potential for actual harm
2002-06-07	2002-06-24	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.	Pattern	Potential for minimal harm
2002-06-07	2002-07-09	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2002-06-07	2002-07-25	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Pattern	Potential for minimal harm
2002-06-07	2002-06-25	Administration Deficiencies	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	Pattern	Minimal harm or potential for actual harm

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