Stacyville Community Nursing Home

Total Number of Beds: 34	Percent of Occupied Beds: 62%
Total Number of Residents: 21	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 and Medicaid
* Details Last Reported on: 07/11/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 1.26

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.9

Number of CNA Hours per Nursing Home Resident per Day: 2.87

Number of Staff Hours per Nursing Home Resident per Day: 5.03

Nursing Home Resident Information**:

** Details Last Reported on: 7/11/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-05-25	2001-06-06	Resident Assessment Deficiencies	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Isolated	Minimal harm or potential for actual harm
2001-05-25	2001-06-06	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
2001-05-25	2001-06-06	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2001-05-25	2001-06-06	Administration Deficiencies	Follow all laws and professional standards.	Widespread	Potential for minimal harm
2002-06-19	2002-06-19	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Pattern	Minimal harm or potential for actual harm
2003-07-11	2003-07-31	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Pattern	Minimal harm or potential for actual harm
2003-07-11	2003-07-31	Administration Deficiencies	Follow all laws and professional standards.	Pattern	Potential for minimal harm

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