The Skilled Nursing Center at Tomball

Total Number of Beds: 18	Percent of Occupied Beds: 67%
Total Number of Residents: 12	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: 08/15/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 4.5

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.9

Number of CNA Hours per Nursing Home Resident per Day: 4.07

Number of Staff Hours per Nursing Home Resident per Day: 11.47

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 36%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 22%
Percent of Short-Stay Residents With Delirium: 5%
** Details Last Reported on: 8/15/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-08-14	2002-08-14	Resident Rights Deficiencies	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Potential for minimal harm
2002-08-14	2003-09-23	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2003-08-15	2003-09-24	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
2003-08-15	2003-09-24	Pharmacy Service Deficiencies	Provide drugs and related services needed by each resident.	Isolated	Minimal harm or potential for actual harm

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