Pickersgill, Inc.

Total Number of Beds: 60	Percent of Occupied Beds: 93%
Total Number of Residents: 56	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: 10/09/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.56

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.61

Number of CNA Hours per Nursing Home Resident per Day: 2.37

Number of Staff Hours per Nursing Home Resident per Day: 3.54

Nursing Home Resident Information**:

Percent of High-Risk Residents Who Have Pressure Sores: 17%
Percent of Residents Who Have Moderate to Severe Pain: 0%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 15%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 4%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 15%
Percent of Residents Who are More Depressed or Anxious: 0%
Percent of Residents Who Were Physically Restrained: 2%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 60%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 4%
Percent of Residents With a Urinary Tract Infection: 9%
** Details Last Reported on: 10/9/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-05-09	2001-05-30	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.	Isolated	Minimal harm or potential for actual harm
2002-10-04	2002-10-31	Quality Care Deficiencies	Give each resident a special diet to help when there is a nutritional problem.	Pattern	Minimal harm or potential for actual harm
2003-10-09	2003-11-21	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
2003-10-09	2003-11-03	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

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