| General |
| City |
| Denver |
Lakewood |
| State attribute explanation |
| Co |
Co |
| Street |
| 4686 East Asbury Circle |
1432 Depew Street |
| Zip Code |
| 80,222 |
80,214 |
| Phone |
| 3,037,561,566 |
3,032,381,375 |
|
Overall Star Rating |
| 4 |
5 |
|
Health Inspections Star Rating |
| 4 |
5 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
3 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 75 |
83 |
|
Total Number of Residents |
| 64 |
72 |
|
Percent of Occupied Beds |
| 85 % |
87 % |
| Health Survey Date |
| 4/25/2012 |
11/30/2011 |
| Fire Survey Date |
| 5/17/2012 |
11/30/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Limited Liability Company |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
1 |
| Total Enforcement Actions Count |
| 75.2 |
1 |
| # of deficiencies |
| 2 |
1 |
|
| Staff Information |
| Number of Residents |
| 64 |
72 |
| Number of RN Hours Per Resident Per Day |
| 1.17 |
0.67 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.45 |
0.71 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.62 |
1.38 |
| Number of CNA Hours Per Resident Per Day |
| 0.13 |
75.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.13 |
|
| 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: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/26/2010date Of Correction: 01/24/2010 |
| 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 |
31.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.9 / 9.9 |
7.9:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.5 % |
|
| Percent of long-stay residents who lose too much weight |
| 6.3 % |
5.6:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 22.2:1 |
10.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.8 % |
5.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.1 % |
1.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 4.5 % |
11.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
28.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 78.3 % |
90.9 % |
| 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 % |
4.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 10.8 % |
32.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.9 % |
3.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.1 % |
7.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.7 % |
4.7 % |
| Percent of long-stay residents who lose too much weight |
| 7.3 % |
4.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 21 % |
10.3:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.1 / 8.8 |
4.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.4 % |
1.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.6:1 |
10.6 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
1.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.1 % |
3.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 18.6 (65.5) |
28.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 59.3 % |
73.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 19.1:1 |
23.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 % |