| Total Number of Beds: 25 | Percent of Occupied Beds: 76% |
| Total Number of Residents: 19 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Corporation | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: None | Medicare/Medicaid: Participating in Medicare Only |
| * Details Last Reported on: 10/30/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 0.6 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0 |
| Number of CNA Hours per Nursing Home Resident per Day: 0.68 |
| Number of Staff Hours per Nursing Home Resident per Day: 1.28 |
Nursing Home Resident Information**:
Percent of Short-Stay Residents With Pressure Sores: 26%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 38%
Percent of Short-Stay Residents With Delirium: 3%
** Details Last Reported on: 10/30/2003
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.
