| General |
| City |
| Colorado Springs |
Colorado Springs |
| State attribute explanation |
| Co |
Co |
| Street |
| 1340 East Fillmore Street |
920 South Chelton Road |
| Zip Code |
| 80,907 |
80,910 |
| Phone |
| 7,194,731,105 |
7,194,737,780 |
|
Overall Star Rating |
| 2 |
3 |
|
Health Inspections Star Rating |
| 1 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 2 |
4 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 80 |
81 |
| Total Number of Residents |
| 67 |
72 |
|
Percent of Occupied Beds |
| 84 % |
89 % |
| Health Survey Date |
| 1/11/2012 |
10/25/2011 |
| Fire Survey Date |
| 2/1/2012 |
11/9/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Limited Liability Company |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 11 |
2 |
|
| Staff Information |
| Number of Residents |
| 67 |
72 |
| Number of RN Hours Per Resident Per Day |
| 0.79 |
0.61 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.92 |
0.82 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.71 |
1.43 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.09 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.09 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 01/11/2012date Of Correction: 02/15/2012 |
|
| 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: 01/11/2012date Of Correction: 02/15/2012 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 05/01/2012date Of Correction: 05/24/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 06/17/2010date Of Correction: Not Available |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 01/11/2012date Of Correction: 02/15/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 08/30/2011date Of Correction: 10/04/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 08/30/2011date Of Correction: 10/04/2011 |
|
| Deficiency #4 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/30/2011date Of Correction: 10/04/2011 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.survey Date: 06/17/2010date Of Correction: Not Available |
|
| 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: 08/30/2011date Of Correction: 10/04/2011 |
Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 02/11/2011date Of Correction: 03/01/2011 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Food In A Way That Meets A Resident's Needs.survey Date: 08/30/2011date Of Correction: 10/04/2011 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.survey Date: 05/03/2012date Of Correction: 05/23/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 17.7 % |
28.8 % |
| 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 |
| 8.7 % |
2.6 / 3 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.6 % |
8.3 % |
| Percent of long-stay residents who lose too much weight |
| 3.3 % |
18.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 57.5 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3 % |
4.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.6 % |
2.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.3 % |
11.6:1 |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 15.6 % |
83.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 6.3 % |
73 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 7.9:1 |
7.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 20.8 % |
28.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1 % |
0.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 20.2 (68.4) |
4.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 9 % |
5 % |
| Percent of long-stay residents who lose too much weight |
| 5.7 % |
17.1:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 52.3 % |
66.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
5.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.6 % |
4.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.2-20 |
11.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 10.2 % |
6.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.7 % |
17.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 12.3:1 |
77.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 6.5 % |
68.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.8 % |
1.8 % |