Shaughnessy Kaplan Rehab Skilled Nursing Facility

Total Number of Beds: 40	Percent of Occupied Beds: 85%
Total Number of Residents: 34	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: 08/29/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.46

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.24

Number of CNA Hours per Nursing Home Resident per Day: 2.64

Number of Staff Hours per Nursing Home Resident per Day: 5.34

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 28%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 36%
Percent of Short-Stay Residents With Delirium: 1%
** Details Last Reported on: 8/29/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-08-29	2001-09-21	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	Isolated	Minimal harm or potential for actual harm
2001-08-29	2001-08-29	Resident Rights Deficiencies	Bill properly: Charged resident for items that Medicare or Medicaid pays for.	Isolated	Minimal harm or potential for actual harm
2001-08-29	2001-09-21	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
2001-08-29	2001-09-21	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
2001-08-29	2001-08-29	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	Isolated	Minimal harm or potential for actual harm
2001-08-29	2001-09-17	Administration Deficiencies	Get proof that a nurse aide has the training and skills that the State requires.	Isolated	Minimal harm or potential for actual harm
2001-08-29	2001-09-27	Administration Deficiencies	Set up or keep a group of people to review and ensure quality.	Pattern	Minimal harm or potential for actual harm
2002-08-08	2002-10-08	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-10-08	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-10-08	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-10-08	Administration Deficiencies	Hire nurse aides who have completed required training and shown that they are skilled.	Isolated	Minimal harm or potential for actual harm
2002-08-08	2002-10-08	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
2003-08-29	2003-10-17	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm

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