| General |
| City |
| Wheat Ridge |
Brush |
| State attribute explanation |
| Co |
Co |
| Street |
| 4800 Tabor Street |
122 Hospital Road |
| Zip Code |
| 80,033 |
80,723 |
| Phone |
| 3,034,214,161 |
9,708,422,861 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
1 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 168 |
132 |
|
Total Number of Residents |
| 149 |
108 |
|
Percent of Occupied Beds |
| 89 % |
82 % |
| Health Survey Date |
| 4/12/2012 |
5/10/2012 |
| Fire Survey Date |
| 5/9/2012 |
6/7/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Church Related |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| Yes |
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 |
| 6 |
3 |
|
| Staff Information |
| Number of Residents |
| 149 |
108 |
| Number of RN Hours Per Resident Per Day |
| 0.74 |
0.55 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.86 |
0.74 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.6 |
1.29 |
| Number of CNA Hours Per Resident Per Day |
| 0.03 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.03 |
0.06 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel 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: 11/18/2009date Of Correction: 12/24/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel 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: 04/12/2012date Of Correction: 05/11/2012 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel 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: 12/21/2011date Of Correction: 01/26/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 12/21/2011date Of Correction: 01/26/2012 |
|
| 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: 04/12/2012date Of Correction: 05/11/2012 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.survey Date: 05/10/2012date Of Correction: 06/05/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 04/21/2011date Of Correction: 06/08/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/10/2012date Of Correction: 06/05/2012 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 04/21/2011date Of Correction: 06/08/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 27.6 % |
26.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.8 % |
2.6 / 3 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.3 % |
27.6 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.3 % |
7.8 % |
| Percent of long-stay residents who lose too much weight |
| 5.2 % |
11.5 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 58.2 % |
52.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.3 % |
1.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.20 % |
6.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.7 % |
13.1:1 |
| Percent of long-stay residents who were physically restrained |
| 5.9 % |
2.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 11.4 % |
17.9 (64.2) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 75.3 % |
66.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84.4 % |
55.3 % |
| 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 |
| 5.2 % |
6.5 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 24.3 % |
27.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.50 % |
8.1 / 8.8 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.5 % |
26.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.6:1 |
6 % |
| Percent of long-stay residents who lose too much weight |
| 5.2 % |
10.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 63.8 % |
45 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.5 % |
4.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 2.20 % |
11.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 8.3 % |
14.6 % |
| Percent of long-stay residents who were physically restrained |
| 6.6 % |
2.20 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 7.8 % |
7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 11.4 % |
24.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 57.9 % |
75 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.8 % |
61.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 22.7 (72.9) |
14.2 % |