Salem Community Hospital

Total Number of Beds: 15	Percent of Occupied Beds: 80%
Total Number of Residents: 12	Located Within a Hospital: Yes
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 11/13/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 2.95

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.24

Number of CNA Hours per Nursing Home Resident per Day: 2.46

Number of Staff Hours per Nursing Home Resident per Day: 7.65

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 29%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 43%
Percent of Short-Stay Residents With Delirium: 13%
** Details Last Reported on: 11/13/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-10-10	2002-10-24	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm

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