General |
City |
Aurora |
Montrose |
State attribute explanation |
Co |
Co |
Street |
10201 East Third Avenue |
1043 Ridge Street |
Zip Code |
80,010 |
81,401 |
Phone |
3,033,643,364 |
9,702,499,683 |
Overall Star Rating |
4 |
4 |
Health Inspections Star Rating |
4 |
3 |
Nurse Staffing Star Rating |
2 |
2 |
Quality Measures Star Rating |
3 |
5 |
RN Only Star Rating |
2 |
4 |
Number of Certified Beds |
108 |
104 |
Total Number of Residents |
94 |
70 |
Percent of Occupied Beds |
87 % |
67 % |
Health Survey Date |
10/3/2011 |
8/5/2011 |
Fire Survey Date |
10/20/2011 |
9/1/2011 |
Sprinkler Status |
Fully Sprinklered |
Fully Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
For Profit - Corporation |
For Profit - Limited Liability Company |
Located Within a Hospital? |
No |
No |
Multi Nursing Home Ownership? |
Yes |
Yes |
Resident and Family Councils |
Resident |
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 |
1 |
75.2 |
# of deficiencies |
7 |
7 |
|
Staff Information |
Number of Residents |
94 |
70 |
Number of RN Hours Per Resident Per Day |
0.45 |
0.86 |
Number of LPN/LVN Hours Per Resident Per Day |
0.69 |
0.55 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.13 |
1.41 |
Number of CNA Hours Per Resident Per Day |
0.02 |
0.08 |
Number Therapy Hours Per Resident Per Day |
0.02 |
0.08 |
Environmental Deficiencies |
Deficiency #1 |
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: 10/03/2011date Of Correction: 11/02/2011 |
|
Deficiency #2 |
Scope: Manylevel Of Harm: 1deficiency: Provide Clean Bed And Bath Linens That Are In Good Condition.survey Date: 10/03/2011date Of Correction: 11/02/2011 |
|
Deficiency #3 |
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: 10/07/2010date Of Correction: 11/05/2010 |
|
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: 11/19/2009date Of Correction: 12/23/2009 |
Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 03/31/2011date Of Correction: 05/05/2011 |
Resident Rights Deficiencies |
Deficiency #1 |
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 11/19/2009date Of Correction: 12/23/2009 |
|
Quality Care Deficiencies |
Deficiency #1 |
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/03/2011date Of Correction: 11/02/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 03/31/2011date Of Correction: 05/05/2011 |
Deficiency #2 |
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 10/07/2010date Of Correction: 11/05/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/10/2009date Of Correction: 12/04/2009 |
Resident Assessment Deficiencies |
Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 11/10/2009date Of Correction: 12/04/2009 |
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: 03/31/2011date Of Correction: 05/05/2011 |
Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 11/10/2009date Of Correction: 12/04/2009 |
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: 03/31/2011date Of Correction: 05/05/2011 |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
18.3 % |
14.5 % |
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 |
5.3 % |
14.5 % |
Percent of long-stay high-risk residents with pressure ulcers |
5.7 % |
75.2 % |
Percent of long-stay residents who lose too much weight |
5.8 % |
1.6 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
70.3 % |
55.1 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.4 % |
6.4 % |
Percent of long-stay residents with a urinary tract infection |
4.7 % |
3.2 % |
Percent of long-stay residents who have depressive symptoms |
17.6 % |
75.2 % |
Percent of long-stay residents who were physically restrained |
3.5 % |
75.2 % |
Percent of short-stay residents who self-report moderate to severe pain |
|
22.5 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
72.9 % |
79.6 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
81.4 % |
100 % |
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 |
4.7 % |
1.6 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
15.4 % |
16.7 % |
Percent of long-stay residents whose need for help with daily activities has increased |
0.7 % |
75.2 % |
Percent of long-stay residents who self-report moderate to severe pain |
6.1 % |
12.5 % |
Percent of long-stay high-risk residents with pressure ulcers |
5.4 % |
1.1 % |
Percent of long-stay residents who lose too much weight |
7.8 % |
1.2 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
69 % |
60.3 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.1 % |
5.9 % |
Percent of long-stay residents with a urinary tract infection |
5.5 % |
4.3 % |
Percent of long-stay residents who have depressive symptoms |
16.7 % |
0.6 % |
Percent of long-stay residents who were physically restrained |
4.7 % |
75.2 % |
Percent of long-stay residents experiencing one or more falls with major injury |
4.7 % |
3 % |
Percent of short-stay residents who self-report moderate to severe pain |
22.7 (72.9) |
19.9 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
73.3 % |
42.9 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
75.8 % |
100 % |
Percent of short-stay residents who newly received an antipsychotic medication |
27 % |
12.6:1 |