Shelby Memorial Hospital Nursing Home

Total Number of Beds: 15	Percent of Occupied Beds: 87%
Total Number of Residents: 13	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 05/30/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.88

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.98

Number of CNA Hours per Nursing Home Resident per Day: 1.32

Number of Staff Hours per Nursing Home Resident per Day: 4.18

Nursing Home Resident Information**:

** Details Last Reported on: 5/30/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-05-31	0000-00-00	Quality Care Deficiencies	Use a registered nurse at least 8 hours a day, 7 days a week.	Pattern	Potential for minimal harm
2002-04-26	2002-05-17	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
2003-05-30	2003-08-01	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2003-05-30	0000-00-00	Quality Care Deficiencies	Use a registered nurse at least 8 hours a day, 7 days a week.	Pattern	Potential for minimal harm

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