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HERITAGE CLUB MOUNTAIN VIEW

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HERITAGE CLUB MOUNTAIN VIEW 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 8101 E MISSISSIPPI AVENUE  
Zip Code 80247  
Phone 3033373400  
Overall Star Rating
(1.89 higher than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.17 lower 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
56  (52.94 lower than average)
vs
108.94

Total Number of Residents
51  (40.25 lower than average)
vs
91.25

Percent of Occupied Beds
91 % (7.35 % higher than average)
vs
83.65 %

Health Survey Date 1/31/2012  
Fire Survey Date 1/31/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare  vs 5% Nursing Homes USA have Medicare
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? Yes  vs 9.1% Nursing Homes USA 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
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies 8  
Staff Information
Number of Residents
51  (40.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.24  (0.47 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.6  (0.24 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.84  (0.25 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.21  (5.28 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.21  (0.11 higher 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: 03/30/2010
date Of Correction: 04/29/2010 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 11/22/2011
date Of Correction: 01/20/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 11/22/2011
date Of Correction: 01/20/2012 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident .
survey Date: 03/30/2010
date Of Correction: 04/29/2010 

Quality Measures Q1
Percent of long-stay residents whose need for help with daily activities has increased
0.6 % (32.35 % lower than average)
vs
32.95 %

Percent of short-stay residents who self-report moderate to severe pain
12.9 (55.2) % (12.12 % lower than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.5 % (7.86 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
91.3 % (7.36 % higher 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

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
6.1 % (19.29 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
0.2 % (23.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
3 % (11.1 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.7 % (4.52 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
75.2 % (66.7 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
57.9 % (14.52 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.4 % (3.25 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
20 % (10.42 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
6.2 % (13.66 % 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
9.8 % (0.93 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
14.9-28 % (9.86 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.2 % (10.76 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
89.2 % (14.45 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
6.8 % (10.54 % lower than average)
vs
17.34 %



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