| General |
| City |
| Denver |
Brush |
| State attribute explanation |
| Co |
Co |
| Street |
| 4686 East Asbury Circle |
122 Hospital Road |
| Zip Code |
| 80,222 |
80,723 |
| Phone |
| 3,037,561,566 |
9,708,422,861 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
1 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 75 |
132 |
| Total Number of Residents |
| 64 |
108 |
|
Percent of Occupied Beds |
| 85 % |
82 % |
| Health Survey Date |
| 4/25/2012 |
5/10/2012 |
| Fire Survey Date |
| 5/17/2012 |
6/7/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 2 |
3 |
|
| Staff Information |
| Number of Residents |
| 64 |
108 |
| Number of RN Hours Per Resident Per Day |
| 1.17 |
0.55 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.45 |
0.74 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.62 |
1.29 |
| Number of CNA Hours Per Resident Per Day |
| 0.13 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.13 |
0.06 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 08/04/2011date Of Correction: 08/22/2011 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/18/2009date Of Correction: 12/24/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.survey Date: 05/10/2012date Of Correction: 06/05/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/10/2012date Of Correction: 06/05/2012 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 08/04/2011date Of Correction: 08/22/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 12.1:1 |
26.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2.6 / 3 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.9 / 9.9 |
27.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.5 % |
7.8 % |
| Percent of long-stay residents who lose too much weight |
| 6.3 % |
11.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 22.2:1 |
52.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.8 % |
1.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.1 % |
6.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
13.1:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
17.9 (64.2) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
66.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 78.3 % |
55.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.5 % |
6.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.8 % |
27.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.9 % |
8.1 / 8.8 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.1 % |
26.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.7 % |
6 % |
| Percent of long-stay residents who lose too much weight |
| 7.3 % |
10.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21 % |
45 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.1 / 8.8 |
4.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.4 % |
11.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.6:1 |
14.6 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.20 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.1 % |
7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.6 (65.5) |
24.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 59.3 % |
75 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 19.1:1 |
61.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
14.2 % |