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SIERRA REHABILITATION AND CARE COMMUNITY

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SIERRA REHABILITATION AND CARE COMMUNITY VS
All other Nursing Homes USA
General
City LAKEWOOD   vs 0.2% Nursing Homes USA have LAKEWOOD
State attribute explanation CO   vs 1.3% Nursing Homes USA have CO
Street 1432 DEPEW STREET  
Zip Code 80214  
Phone 3032381375  
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
(0.83 higher than average)
vs
3.17

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

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

Number of Certified Beds
83  (25.94 lower than average)
vs
108.94

Total Number of Residents
72  (19.25 lower than average)
vs
91.25

Percent of Occupied Beds
87 % (3.35 % higher than average)
vs
83.65 %

Health Survey Date 11/30/2011  
Fire Survey Date 11/30/2011  
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 - Limited Liability Company  vs 1.1% Nursing Homes USA have For profit - Limited liability company
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 1  
Staff Information
Number of Residents
72  (19.38 lower than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.67  (0.1 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.71  (0.13 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.38  (0.21 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
75.2  (69.71 higher than average)
vs
5.49

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: 01/26/2010
date Of Correction: 01/24/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
31.8 % (6.71 % higher 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 7.9:1 % 
Percent of long-stay residents who lose too much weight 5.6:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
10.6 % (33.94 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5.7 % (9.93 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.4 % (12.06 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
11.1 % (17.28 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.4 % (42.28 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
28.6 % (3.58 % higher than average)
vs
25.02 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
90.9 % (6.96 % 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

Percent of long-stay residents experiencing one or more falls with major injury
4.1 % (11.42 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32.3 % (6.91 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
3.2 % (20.5 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
7.2 % (6.9 % 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
4.1 % (4.4 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 10.3:1 % 
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
1.4 % (8.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
10.6 % (9.26 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
1.4 % (37.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.7 % (7.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
28.3 % (3.54 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
73.3 % (8.14 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
23.9 % (50.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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