| Total Number of Beds: 30 | Percent of Occupied Beds: 80% |
| Total Number of Residents: 24 | 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 and Medicaid |
| * Details Last Reported on: 10/02/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 2.25 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.21 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.72 |
| Number of Staff Hours per Nursing Home Resident per Day: 6.18 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 40%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 0%
Percent of Short-Stay Residents With Delirium: 3%
** Details Last Reported on: 10/2/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-11-14 |
2002-01-02 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Minimal harm or potential for actual harm |
| 2001-11-14 |
2002-01-02 |
Nutrition and Dietary Deficiencies |
Make sure that the attending doctor orders special diets. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
