| Total Number of Beds: 26 | Percent of Occupied Beds: 31% |
| Total Number of Residents: 8 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Other | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: None | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 06/17/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 7.28 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 5.04 |
| Number of CNA Hours per Nursing Home Resident per Day: 1.64 |
| Number of Staff Hours per Nursing Home Resident per Day: 13.96 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 40%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 55%
Percent of Short-Stay Residents With Delirium: 5%
** Details Last Reported on: 6/17/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-06-17 |
2003-07-30 |
Administration Deficiencies |
Train all employees on what to do in an emergency. |
Pattern |
Potential for minimal harm |
*** All violations listed are based on federal government records.
