Stillwater Medical Center, Skilled Nursing Facility

Total Number of Beds: 13	Percent of Occupied Beds: 31%
Total Number of Residents: 4	Located Within a Hospital: Yes
Type of Ownership: Government - City	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 01/07/2004

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 4.86

Number of LPN/LVN Hours per Nursing Home Resident per Day: 7.21

Number of CNA Hours per Nursing Home Resident per Day: 2.83

Number of Staff Hours per Nursing Home Resident per Day: 14.9

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 28%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 31%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 1/7/2004

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-03-21	2002-05-02	Mistreatment Deficiencies	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.	Isolated	Minimal harm or potential for actual harm
2002-03-21	2002-05-02	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Isolated	Minimal harm or potential for actual harm
2002-03-21	2002-05-02	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Pattern	Potential for minimal harm
2002-03-21	2002-05-02	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2002-03-21	2002-05-02	Administration Deficiencies	Follow all laws and professional standards.	Isolated	Minimal harm or potential for actual harm
2003-03-25	2003-05-09	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
2004-01-07	2004-01-23	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm

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