Lane Memorial Hospital Skilled Nursing Facility

Total Number of Beds: 12	Percent of Occupied Beds: 33%
Total Number of Residents: 4	Located Within a Hospital: Yes
Type of Ownership: Government - Hospital district	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: None	Medicare/Medicaid: Participating in Medicare Only
* Details Last Reported on: 11/13/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 7.96

Number of LPN/LVN Hours per Nursing Home Resident per Day: 5.91

Number of CNA Hours per Nursing Home Resident per Day: 5.45

Number of Staff Hours per Nursing Home Resident per Day: 19.32

Nursing Home Resident Information**:

Percent of Short-Stay Residents With Pressure Sores: 49%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 26%
Percent of Short-Stay Residents With Delirium: 0%
** Details Last Reported on: 11/13/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2002-11-07	2003-02-03	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
2003-11-13	0000-00-00	Resident Rights Deficiencies	Allow residents to easily see the results of the nursing home's most recent survey.	Widespread	Potential for minimal harm
2003-11-13	2003-12-29	Quality Care Deficiencies	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
2003-11-13	2003-12-29	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Minimal harm or potential for actual harm
2003-11-13	2003-12-29	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
2003-11-13	2003-12-29	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm

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