| General |
| City |
| Boulder |
Englewood |
| State attribute explanation |
| Co |
Co |
| Street |
| 2121 Mesa Drive |
3636 South Pearl Street |
| Zip Code |
| 80,304 |
80,110 |
| Phone |
| 3,034,424,037 |
3,037,611,640 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 3 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
3 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
| 5 |
4 |
|
Number of Certified Beds |
| 162 |
81 |
|
Total Number of Residents |
| 133 |
56 |
|
Percent of Occupied Beds |
| 82 % |
69 % |
| Health Survey Date |
| 1/13/2011 |
2/14/2012 |
| Fire Survey Date |
| 1/25/2011 |
3/9/2012 |
| 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 |
| 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 |
| 75.2 |
75.2 |
| # of deficiencies |
| 2 |
23 |
|
| Staff Information |
| Number of Residents |
| 143 |
56 |
| Number of RN Hours Per Resident Per Day |
| 0.71 |
0.82 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.5 - 2.0 |
0.74 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.21 |
1.56 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
0.1 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
0.1 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 02/14/2012date Of Correction: 03/26/2012 |
| Deficiency #2 |
|
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: 02/14/2012date Of Correction: 03/26/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Maintain Comfortable And Safe Temperature Levels.survey Date: 02/14/2012date Of Correction: 03/20/2012 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 02/14/2012date Of Correction: 03/20/2012 |
| Deficiency #5 |
|
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: 08/30/2011date Of Correction: Not Available |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 02/14/2012date Of Correction: 03/20/2012 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.survey Date: 11/24/2009date Of Correction: 12/31/2009 |
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: 02/14/2012date Of Correction: 03/26/2012 |
| Deficiency #2 |
| 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: 11/24/2009date Of Correction: 12/31/2009 |
|
| 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: 06/06/2012date Of Correction: 07/13/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/06/2012date Of Correction: 07/13/2012 |
| Deficiency #3 |
|
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: 02/14/2012date Of Correction: 03/26/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 02/14/2012date Of Correction: 03/26/2012 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 02/14/2012date Of Correction: 03/20/2012 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/14/2012date Of Correction: 03/26/2012 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/30/2011date Of Correction: Not Available |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 08/30/2011date Of Correction: Not Available |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 02/14/2012date Of Correction: 03/26/2012 |
| Deficiency #2 |
|
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: 02/14/2012date Of Correction: 03/26/2012 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 06/06/2012date Of Correction: 07/13/2012 |
| Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 02/14/2012date Of Correction: 03/20/2012 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.survey Date: 02/14/2012date Of Correction: 03/26/2012 |
| Deficiency #4 |
|
Scope: Somelevel 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: 02/14/2012date Of Correction: 03/26/2012 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 08/30/2011date Of Correction: Not Available |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 02/14/2012date Of Correction: 03/20/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 39.3 % |
10.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
|
1.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.3 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.9 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 9.9:1 |
8.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 26.6 (79.9) |
64.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.8 % |
7.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.2 % |
4.3 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.6 % |
6.4 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
|
25 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
|
81 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
|
79.3 % |
| 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 |
| 4.2 % |
2.1 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 39.3 % |
9.4 / 10.4 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
4.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.3:1 |
24.4 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.2 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 6.9 % |
7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 24.7 % |
66.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.20 % |
3.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.5 % |
4.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 8.2 % |
3.5 % |
| Percent of long-stay residents who were physically restrained |
| 3.3 % |
0.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 14.5 % |
4.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 17.2 % |
28.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 81.2 % |
83.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 68.1 % |
77.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 10 % |
13 % |