| Total Number of Beds: 23 | Percent of Occupied Beds: 61% |
| Total Number of Residents: 14 | Located Within a Hospital: No |
| Type of Ownership: Government - County | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: None | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 08/20/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: |
| Number of CNA Hours per Nursing Home Resident per Day: |
| Number of Staff Hours per Nursing Home Resident per Day: |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 34%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 48%
Percent of Short-Stay Residents With Delirium: 3%
** Details Last Reported on: 8/20/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2002-09-05 |
2002-10-05 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Pattern |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.