| General |
| City |
| Pueblo |
Lamar |
| State attribute explanation |
| Co |
Co |
| Street |
| 2701 California St |
205 South 10th St |
| Zip Code |
| 81,004 |
81,052 |
| Phone |
| 7,195,611,300 |
7,193,363,434 |
|
Overall Star Rating |
| 2 |
3 |
|
Health Inspections Star Rating |
| 2 |
4 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 4 |
1 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 115 |
60 |
|
Total Number of Residents |
| 86 |
43 |
|
Percent of Occupied Beds |
| 75 % |
72 % |
| Health Survey Date |
| 9/6/2011 |
12/15/2011 |
| Fire Survey Date |
| 9/27/2011 |
1/6/2012 |
| 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 |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 10 |
1 |
|
| Staff Information |
| Number of Residents |
| 86 |
43 |
| Number of RN Hours Per Resident Per Day |
| 0.53 |
0.73 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.9 |
0.39 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.43 |
1.12 |
| Number of CNA Hours Per Resident Per Day |
| 0.06 |
0.23 |
| Number Therapy Hours Per Resident Per Day |
| 0.06 |
0.23 |
| 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: 07/30/2009date Of Correction: 09/01/2009 |
|
| 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: 12/30/2009date Of Correction: 02/05/2010 |
|
| 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: 09/01/2009date Of Correction: 10/01/2009 |
|
| 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: 12/30/2009date Of Correction: 02/05/2010 |
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: 12/15/2011date Of Correction: 01/17/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 12/30/2009date Of Correction: 02/05/2010 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 09/01/2009date Of Correction: 10/01/2009 |
|
| Deficiency #4 |
| 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: 07/30/2009date Of Correction: 09/01/2009 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 07/30/2009date Of Correction: 09/01/2009 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That All Needed Doctor Visits Are Made Personally By A Doctor, As Required. After Initial Doctor Visit, Care May Be Alternated By A Physician Assistant (pa) Or Nurse Practitioner (np).survey Date: 12/30/2009date Of Correction: 02/05/2010 |
|
| 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: 07/30/2009date Of Correction: 09/01/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.8 % |
12.5 % |
| 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 |
| 75.2 % |
11.2-20 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.3 % |
|
| Percent of long-stay residents who lose too much weight |
| 4.2 % |
2.6 / 3 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 40.5 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
8.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.6:1 |
15.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
2.6 / 3 |
| Percent of long-stay residents who were physically restrained |
| 2.8 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 75.2 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.6 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.6 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.4 % |
2.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 34.5 % |
12.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
9.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1 % |
10.7:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8 % |
8.2 % |
| Percent of long-stay residents who lose too much weight |
| 4.7 % |
0.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 44.5 % |
40.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
6.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 8.4 % |
13.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
1.9 % |
| Percent of long-stay residents who were physically restrained |
| 2.8 % |
14.3 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.8 % |
8.6:1 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 75.2 % |
34.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.1 % |
95.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 99.1 % |
100 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 9.1 % |
75.2 % |