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AUTUMN HEIGHTS HEALTH CARE CENTER

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AUTUMN HEIGHTS HEALTH CARE CENTER VS
All other Nursing Homes USA
General
City DENVER   vs 0.2% Nursing Homes USA have DENVER
State attribute explanation CO   vs 1.3% Nursing Homes USA have CO
Street 3131 SOUTH FEDERAL BOULEVARD  
Zip Code 80236  
Phone 3037610260  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
125  (16.06 higher than average)
vs
108.94

Total Number of Residents
99  (7.75 higher than average)
vs
91.25

Percent of Occupied Beds
79 % (4.65 % lower than average)
vs
83.65 %

Health Survey Date 2/9/2012  
Fire Survey Date 3/8/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  vs 54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(56.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(53.31 lower than average)
vs
56.31

# of deficiencies 9  
Staff Information
Number of Residents
99  (7.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.81  (0.04 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.67  (0.17 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.48  (0.11 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.06  (5.43 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.06  (0.04 lower than average)
vs
0.10

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 06/21/2010
date Of Correction: Not Available 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 06/21/2010
date Of Correction: Not Available 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 06/21/2010
date Of Correction: Not Available 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 06/21/2010
date Of Correction: Not Available 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 06/21/2010
date Of Correction: Not Available 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 06/21/2010
date Of Correction: Not Available 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.
survey Date: 03/10/2010
date Of Correction: 04/14/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 03/10/2010
date Of Correction: 04/15/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 04/23/2009
date Of Correction: 05/22/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
19 % (6.09 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
26.9 % (10.24 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
7 % (5.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.5 % (7.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
40 % (4.54 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7 % (8.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
4.5 % (8.96 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
1.1 % (27.28 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
2.20 % (41.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
26.1 % (1.08 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
51.2 % (33.44 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
53.5 % (30.44 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (29.3 % higher than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury 5.6:1 % 
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
18.6 (65.5) % (6.79 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
20 % (5.9 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
7.5 % (1.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4.4 % (4.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
45.2 % (1.82 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.3 % (6.35 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
7.7 % (1.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
3.2 % (16.66 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.8 % (35.73 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
8 % (2.73 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
26.3 (79.3) % (1.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
44.6 % (36.84 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
59.5 % (15.25 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
19.5-24 % (2.16 % higher than average)
vs
17.34 %



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