| Total Number of Beds: 15 | Percent of Occupied Beds: 87% |
| Total Number of Residents: 13 | 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 Only |
| * Details Last Reported on: 11/17/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 1.52 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 1.11 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.81 |
| Number of Staff Hours per Nursing Home Resident per Day: 5.44 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 19%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 19%
Percent of Short-Stay Residents With Delirium: 6%
** Details Last Reported on: 11/17/2003
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.
