| Total Number of Beds: 40 | Percent of Occupied Beds: 95% |
| Total Number of Residents: 38 | Located Within a Hospital: No |
| Type of Ownership: Non profit - Church related | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 08/21/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 1.31 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 5.23 |
| Number of CNA Hours per Nursing Home Resident per Day: 0 |
| Number of Staff Hours per Nursing Home Resident per Day: 6.54 |
Nursing Home Resident Information**:
Percent of Residents Who Have Moderate to Severe Pain: 0%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 0%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 24%
Percent of Residents Who are More Depressed or Anxious: 11%
Percent of Residents Who Were Physically Restrained: 0%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 70%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 0%
Percent of Residents With a Urinary Tract Infection: 5%
** Details Last Reported on: 8/21/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2003-08-21 |
0000-00-00 |
Quality Care Deficiencies |
Give each resident care and services to get or keep the highest quality of life possible. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.
