General |
City |
Colorado Springs |
Lakewood |
State attribute explanation |
Co |
Co |
Street |
1795 Monterey Road |
1599 Ingalls St |
Zip Code |
80,910 |
80,214 |
Phone |
7,194,717,850 |
3,032,323,551 |
Overall Star Rating |
2 |
2 |
Health Inspections Star Rating |
1 |
1 |
Nurse Staffing Star Rating |
4 |
4 |
Quality Measures Star Rating |
4 |
4 |
RN Only Star Rating |
5 |
4 |
Number of Certified Beds |
112 |
130 |
Total Number of Residents |
78 |
90 |
Percent of Occupied Beds |
70 % |
69 % |
Health Survey Date |
4/28/2011 |
6/15/2011 |
Fire Survey Date |
5/11/2011 |
7/8/2011 |
Sprinkler Status |
Fully Sprinklered |
Fully Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
For Profit - Corporation |
For Profit - Corporation |
Located Within a Hospital? |
No |
No |
Multi Nursing Home Ownership? |
Yes |
Yes |
Resident and Family Councils |
Both |
Resident |
Continuing Care Retirement Community? |
No |
No |
Quality Indicator Survey? |
Yes |
Yes |
Special Focus Facility? |
No |
No |
Civil Money Penalty Count |
2 |
1 |
Total Enforcement Actions Count |
3 |
1 |
# of deficiencies |
8 |
11 |
|
Staff Information |
Number of Residents |
78 |
90 |
Number of RN Hours Per Resident Per Day |
0.94 |
0.85 |
Number of LPN/LVN Hours Per Resident Per Day |
0.7 |
1.13 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.64 |
1.98 |
Number of CNA Hours Per Resident Per Day |
0.09 |
0.11 |
Number Therapy Hours Per Resident Per Day |
0.09 |
0.11 |
Environmental Deficiencies |
Deficiency #1 |
Scope: Fewlevel 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: 05/03/2012date Of Correction: 06/13/2012 |
Scope: Fewlevel 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: 12/27/2011date Of Correction: 01/26/2012 |
Deficiency #2 |
|
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: 06/15/2011date Of Correction: 07/18/2011 |
Deficiency #3 |
|
Scope: Fewlevel 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: 04/29/2009date Of Correction: 05/27/2009 |
Mistreatment Deficiencies |
Deficiency #1 |
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 05/03/2012date Of Correction: 06/13/2012 |
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 12/27/2011date Of Correction: 01/26/2012 |
Deficiency #2 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 05/03/2012date Of Correction: 06/13/2012 |
|
Resident Rights Deficiencies |
Deficiency #1 |
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 05/03/2012date Of Correction: 06/13/2012 |
|
Quality Care Deficiencies |
Deficiency #1 |
Scope: Somelevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 05/03/2012date Of Correction: 06/13/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/05/2012date Of Correction: 05/05/2012 |
Deficiency #2 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 05/03/2012date Of Correction: 06/13/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/27/2011date Of Correction: 01/26/2012 |
Deficiency #3 |
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 05/03/2012date Of Correction: 06/13/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 06/15/2011date Of Correction: 07/18/2011 |
Deficiency #4 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 05/03/2012date Of Correction: 06/13/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 06/15/2011date Of Correction: 07/18/2011 |
Deficiency #5 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 06/15/2011date Of Correction: 07/18/2011 |
Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/15/2011date Of Correction: 07/18/2011 |
Resident Assessment Deficiencies |
Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 04/29/2009date Of Correction: 05/27/2009 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
35.8 % |
10.8 % |
Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % |
1.1 % |
Percent of long-stay residents who self-report moderate to severe pain |
16.2 % |
16.8 % |
Percent of long-stay high-risk residents with pressure ulcers |
10.5 % |
5.9 % |
Percent of long-stay residents who lose too much weight |
5.4 % |
4.7 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
42.9 % |
48.9 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
6 % |
1.1 % |
Percent of long-stay residents with a urinary tract infection |
5.4 % |
3.5 % |
Percent of long-stay residents who have depressive symptoms |
6.8 % |
2.4 % |
Percent of long-stay residents who were physically restrained |
1.4 % |
75.2 % |
Percent of short-stay residents who self-report moderate to severe pain |
32 % |
32.4 (90.3) |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
76 % |
87.9 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
41.5 % |
94.7 % |
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 |
1.4 % |
4.7 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
34.3 % |
12.2 % |
Percent of long-stay residents whose need for help with daily activities has increased |
75.2 % |
0.7 % |
Percent of long-stay residents who self-report moderate to severe pain |
15.8 % |
18 % |
Percent of long-stay high-risk residents with pressure ulcers |
5.7 % |
7.2 % |
Percent of long-stay residents who lose too much weight |
4 % |
5.9 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
47.8 % |
54.1 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
5.8 % |
2.20 % |
Percent of long-stay residents with a urinary tract infection |
4.9 % |
1.6 % |
Percent of long-stay residents who have depressive symptoms |
10.7:1 |
1.2 % |
Percent of long-stay residents who were physically restrained |
0.9 % |
0.4 % |
Percent of long-stay residents experiencing one or more falls with major injury |
1.3 % |
4.3 % |
Percent of short-stay residents who self-report moderate to severe pain |
30.9 % |
32.9 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
63.2 % |
89.6 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
40.8 % |
90.8 % |
Percent of short-stay residents who newly received an antipsychotic medication |
19 % |
13.6-28 |