| General |
| City |
| Lakewood |
Denver |
| State attribute explanation |
| Co |
Co |
| Street |
| 115 Ingalls Street |
3185 West Arkansas Avenue |
| Zip Code |
| 80,226 |
80,219 |
| Phone |
| 3,032,371,325 |
3,039,221,169 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 5 |
4 |
|
Quality Measures Star Rating |
| 1 |
4 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 90 |
85 |
|
Total Number of Residents |
| 67 |
78 |
|
Percent of Occupied Beds |
| 74 % |
92 % |
| Health Survey Date |
| 5/8/2012 |
7/13/2011 |
| Fire Survey Date |
| 6/5/2012 |
7/28/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| 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 |
1 |
| # of deficiencies |
|
4 |
|
| Staff Information |
| Number of Residents |
| 67 |
78 |
| Number of RN Hours Per Resident Per Day |
| 0.9 |
0.65 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.68 |
0.97 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.58 |
1.63 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.07 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 08/17/2009date Of Correction: 09/01/2009 |
| Deficiency #2 |
|
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: 07/07/2009date Of Correction: 08/04/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/24/2009date Of Correction: 12/28/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/07/2009date Of Correction: 08/04/2009 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 12.5 % |
21.8 % |
| 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 |
| 27.2 % |
6.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.6 / 3 |
4.9 % |
| Percent of long-stay residents who lose too much weight |
| 14.9-28 |
7.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
11.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.6 % |
7 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.5 % |
10.1:1 |
| Percent of long-stay residents who have depressive symptoms |
| 29.9 % |
1.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
15.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
89.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 80 % |
59.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.5 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.7:1 |
28.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.3 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 26.8 % |
6.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.2 % |
7.6 % |
| Percent of long-stay residents who lose too much weight |
| 15.5 % |
8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.2 % |
15 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 10 % |
7.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 8 % |
11.6:1 |
| Percent of long-stay residents who have depressive symptoms |
| 31 % |
1.9 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3 % |
2.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 40 % |
19.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 78.9 % |
90.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 22.6 % |
81.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
3.2 % |