| General |
| City |
| Gunnison |
Cortez |
| State attribute explanation |
| Co |
Co |
| Street |
| 1500 W Tomichi Ave |
680 E Hospital Drive |
| Zip Code |
| 81,230 |
81,321 |
| Phone |
| 9,706,410,704 |
9,705,641,122 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
2 |
|
Quality Measures Star Rating |
| 2 |
2 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 59 |
101 |
| Total Number of Residents |
| 46 |
75 |
|
Percent of Occupied Beds |
| 78 % |
74 % |
| Health Survey Date |
| 10/20/2011 |
4/13/2011 |
| Fire Survey Date |
| 11/10/2011 |
5/11/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Government - County |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
1 |
| Total Enforcement Actions Count |
| 1 |
2 |
| # of deficiencies |
|
8 |
|
| Staff Information |
| Number of Residents |
| 46 |
75 |
| Number of RN Hours Per Resident Per Day |
| 0.97 |
0.55 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.6 |
0.47 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.57 |
1.02 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.02 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.02 |
| 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: 08/18/2010date Of Correction: 09/13/2010 |
| Deficiency #2 |
|
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: 11/12/2009date Of Correction: 12/16/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 11/12/2009date Of Correction: 12/16/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/03/2011date Of Correction: 09/02/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/12/2009date Of Correction: 12/16/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 08/28/2009date Of Correction: 09/24/2009 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 08/28/2009date Of Correction: 09/24/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 08/03/2011date Of Correction: 09/02/2011 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 22.5 % |
18.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
21.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
|
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 2.6 / 3 |
10.3:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10.3:1 |
1.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 13.2 % |
5.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 9.8 % |
11.6:1 |
| Percent of long-stay residents who were physically restrained |
| 17.1:1 |
27.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
42.4 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
98.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
96 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
1.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.9 % |
11.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.9 % |
17.1:1 |
| 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 |
| 9 % |
17.1:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.7 % |
0.9 % |
| Percent of long-stay residents who lose too much weight |
| 4.1 % |
11.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 69.6 % |
34.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.9 / 9.9 |
2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.6 % |
6.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.4 % |
6.3 % |
| Percent of long-stay residents who were physically restrained |
| 17.6 % |
25.5 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 11.3 % |
11.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 29.7 % |
34.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.4 % |
99.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 80.4 % |
98.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
2.20 % |