Clinton Memorial Hospital Prog

Total Number of Beds: 12	Percent of Occupied Beds: 67%
Total Number of Residents: 8	Located Within a Hospital: Yes
Type of Ownership: Government - County	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Resident	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 09/05/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 4.28

Number of LPN/LVN Hours per Nursing Home Resident per Day: 2.29

Number of CNA Hours per Nursing Home Resident per Day: 1.58

Number of Staff Hours per Nursing Home Resident per Day: 8.15

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 40%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 41%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 9/5/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-10-11	2001-11-30	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2001-10-11	2001-11-30	Environmental Deficiencies	Get rid of garbage properly.	Widespread	Potential for minimal harm
2002-07-26	2002-09-14	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	Isolated	Minimal harm or potential for actual harm
2003-09-05	2003-10-25	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
2003-09-05	2003-10-25	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm

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