Herrick Manor

Total Number of Beds: 25	Percent of Occupied Beds: 76%
Total Number of Residents: 19	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 07/03/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.42

Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.17

Number of CNA Hours per Nursing Home Resident per Day: 3.31

Number of Staff Hours per Nursing Home Resident per Day: 4.9

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 24%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 34%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 7/3/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-08-24	2001-09-01	Resident Assessment Deficiencies	Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home.	Pattern	Minimal harm or potential for actual harm
2002-08-15	2002-09-01	Quality Care Deficiencies	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Isolated	Minimal harm or potential for actual harm
2002-08-15	2002-09-01	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
2003-07-03	2003-07-15	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Potential for minimal harm
2003-07-03	2003-08-13	Quality Care Deficiencies	Make sure each resident is being watched and has assistance devices when needed, to prevent accidents.	Isolated	Actual harm
2003-07-03	2003-08-20	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	Isolated	Minimal harm or potential for actual harm
2003-07-03	2003-07-15	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2003-07-03	2003-08-15	Environmental Deficiencies	Get rid of garbage properly.	Pattern	Potential for minimal harm

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