Clark - Lindsey Village

Total Number of Beds: 7	Percent of Occupied Beds: 43%
Total Number of Residents: 3	Located Within a Hospital: No
Type of Ownership: Non profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 02/13/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.8

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.63

Number of CNA Hours per Nursing Home Resident per Day: 2.27

Number of Staff Hours per Nursing Home Resident per Day: 3.7

Nursing Home Resident Information**:

** Details Last Reported on: 2/13/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-04-04	2002-05-19	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	Isolated	Minimal harm or potential for actual harm
2002-04-04	2002-05-19	Nutrition and Dietary Deficiencies	Provide food in a way that meets a resident's needs.	Isolated	Minimal harm or potential for actual harm
2003-02-13	2003-03-26	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Pattern	Minimal harm or potential for actual harm

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