Nursing Home Check Report | Nursing Home Background Check

InfoCheckUSA.com Nursing Home Check Report

Example Record

Profile Information

Name:

JOHN PUBLIC NURSING HOMES

Address:

123 MAIN STREET

DOVER, DE 19901- 4721

Phone Number:

302-456-7890

Fax Number

302-789-0123

Last Update:

03-12-2002

Country:

UNITED STATES

Owner Information

Owner Name:

JOHN PUBLIC

Owner Type:

Profit Corporation

Facility Information

Type of Facility:

SNF/NF Distinct Part

Located in a hospital:

FALSE

Chain:

TRUE

Organized Groups:

NONE

Beds in Facility:

Beds Certified for Medicare:

Number of Residents:

Total Medicare Residents:

Total Medicaid Residents:

Percent of Occupied Beds:

85%

Staffing Information

Nurse Aide Hours:

3.80

Licensed Practical or Vocational Nurse Hours:

0.85

Registered Nurse Hours:

1.05

Licensing Information

Federal Type:

123456

Summary Information

(This section will be in chart form on the actual Detail Report.)

Survey Date:

10-29-1997

Survey Type:

ROUTINE INSPECTION

Fire Code Compliance

FALSE

Number of Health Threat Violations:

Number of Life Threat Violations:

Survey Information

(This section will be in chart form on the actual Detail Report.)

Survey Date:

04-10-2000

Chart Type:

Bedfast all or most of time

Chart Score:

Deficiency Information:

(This section will be in chart form on the actual Detail Report.)

Survey Date:

10-29-1997

Survey Type:

INVESTIGATION RESULTING FROM A COMPLAINT

Deficiency Type:

HEALTH

Deficiency Description:

Store, cook, and give out food in a safe and clean way.

Scope of Deficiency:

Widespread Minimal Harm

Deficiency Status:

Plan of Correction

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