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BROOKSHIRE HOUSE REHABILITATION AND CARE COMMUNITY

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BROOKSHIRE HOUSE REHABILITATION AND CARE COMMUNITY 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 4660 EAST ASBURY CIRCLE  
Zip Code 80222  
Phone 3037561546  
Overall Star Rating
(0.89 higher than average)
vs
3.11

Health Inspections Star Rating
(0.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(0.69 higher than average)
vs
3.31

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

Number of Certified Beds
60  (48.94 lower than average)
vs
108.94

Total Number of Residents
57  (34.25 lower than average)
vs
91.25

Percent of Occupied Beds
95 % (11.35 % higher than average)
vs
83.65 %

Health Survey Date 4/11/2012  
Fire Survey Date 5/1/2012  
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 - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(57.16 lower than average)
vs
58.16

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

# of deficiencies 10  
Staff Information
Number of Residents
57  (34.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.9  (0.13 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.48  (0.36 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.39  (0.2 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/25/2011
date Of Correction: 06/24/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/07/2010
date Of Correction: 10/06/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 09/07/2010
date Of Correction: 10/06/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 09/07/2010
date Of Correction: 10/06/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 05/25/2011
date Of Correction: 06/24/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 05/25/2011
date Of Correction: 06/24/2011 

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: 05/25/2011
date Of Correction: 06/24/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/25/2011
date Of Correction: 06/24/2011 

Deficiency #5 Scope: Some
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: 09/07/2010
date Of Correction: 10/06/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 05/25/2011
date Of Correction: 06/24/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
32.7 (90.9) % (7.61 % higher than average)
vs
25.09 %

Percent of long-stay residents who self-report moderate to severe pain
2.5 % (14.16 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers 8.6:1 % 
Percent of long-stay residents who lose too much weight 5.6:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.8 % (9.83 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.9 % (11.56 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
5.8 % (22.58 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

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
3.6 % (11.92 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
29.4 % (4.01 % higher 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
1.8 % (12.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
12.7 % (3.48 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
9.3 % (0.8 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
33.3 % (10.08 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.1 % (4.55 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
1.9 % (7.68 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
4.4 % (15.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 16.3:1 % 
Percent of short-stay residents who self-report moderate to severe pain 9.4 / 10.4 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
88 % (6.56 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
93.1 % (18.35 % higher than average)
vs
74.75 %



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