Robert Packer Hospital - 6 Main

Total Number of Beds: 14	Percent of Occupied Beds: 79%
Total Number of Residents: 11	Located Within a Hospital: Yes
Type of Ownership: Non 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: 10/29/2002

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 4.74

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.94

Number of CNA Hours per Nursing Home Resident per Day: 3.86

Number of Staff Hours per Nursing Home Resident per Day: 9.54

Nursing Home Resident Information**:

** Details Last Reported on: 10/29/2002

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-11-30	2002-01-30	Pharmacy Service Deficiencies	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Isolated	Minimal harm or potential for actual harm
2001-11-30	2002-01-30	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm

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