| Total Number of Beds: 27 | Percent of Occupied Beds: 15% |
| Total Number of Residents: 4 | Located Within a Hospital: No |
| Type of Ownership: Government - State | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: Family & Resident | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 06/21/2002 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 10.28 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0 |
| Number of CNA Hours per Nursing Home Resident per Day: 8.85 |
| Number of Staff Hours per Nursing Home Resident per Day: 19.13 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 36%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 81%
Percent of Short-Stay Residents With Delirium: 4%
** Details Last Reported on: 6/21/2002
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
*** All violations listed are based on federal government records.
