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SPRING CREEK HEALTH CARE CENTER

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SPRING CREEK HEALTH CARE CENTER VS
All other Nursing Homes USA
General
City FORT COLLINS   vs 0.1% Nursing Homes USA have FORT COLLINS
State attribute explanation CO   vs 1.3% Nursing Homes USA have CO
Street 1000 EAST STUART STREET  
Zip Code 80525  
Phone 9704825712  
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
138  (29.06 higher than average)
vs
108.94

Total Number of Residents
97  (5.75 higher than average)
vs
91.25

Percent of Occupied Beds
70 % (13.65 % lower than average)
vs
83.65 %

Health Survey Date 10/25/2011  
Fire Survey Date 11/10/2011  
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? 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
(57.16 lower than average)
vs
58.16

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

# of deficiencies 23  
Staff Information
Number of Residents
97  (5.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.83  (0.06 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.79  (0.05 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.62  (0.03 higher than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.09  (5.4 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.09  (0.01 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 

Deficiency #2 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: 10/25/2011
date Of Correction: 11/28/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 

Deficiency #4 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: 06/30/2011
date Of Correction: Not Available 

Deficiency #5 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: 01/12/2011
date Of Correction: 03/01/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 01/12/2011
date Of Correction: 03/01/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 09/21/2010
date Of Correction: 10/26/2010 

Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 01/15/2010
date Of Correction: 02/21/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/25/2011
date Of Correction: 11/28/2011 

Deficiency #2 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: 01/12/2011
date Of Correction: 03/01/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 01/12/2011
date Of Correction: 03/01/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 10/14/2009
date Of Correction: 12/03/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/14/2009
date Of Correction: 12/03/2009 

Deficiency #6 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: 10/14/2009
date Of Correction: 12/10/2009 

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: 10/25/2011
date Of Correction: 11/28/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 09/21/2010
date Of Correction: 10/26/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 06/30/2011
date Of Correction: Not Available 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/12/2011
date Of Correction: 03/01/2011 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13.8 % (11.29 % lower than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2.20 % (30.75 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
14 % (2.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
5 % (7.58 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
9.6 % (2.23 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
67.4 % (22.86 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
13.2 % (2.43 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
13.3 % (0.16 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
9.6 % (18.78 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
1.2 % (42.48 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
29.5 % (4.48 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
64.6 % (20.04 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
67 % (16.94 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
5.3 % (40.6 % lower than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1.2 % (14.32 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.2 % (11.19 % lower than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.50 % (22.2 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 19.1:1 % 
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
9.7 % (1.2 % higher than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.8 % (13.42 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
12.5 % (1.85 % higher than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection 8.9 / 9.9 % 
Percent of long-stay residents who have depressive symptoms 10.1:1 % 
Percent of long-stay residents who were physically restrained
1.9 % (36.63 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.7 % (8.03 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
32.1 % (7.34 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
64.9 % (16.54 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
63.1 % (11.65 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 12.8:1 % 


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