| General |
| City |
| Pueblo |
Longmont |
| State attribute explanation |
| Co |
Co |
| Street |
| 400 W 16th Street 3rd Floor |
1950 Mountain View Avenue |
| Zip Code |
| 81,003 |
80,501 |
| Phone |
| 7,195,844,000 |
3,036,515,156 |
|
Overall Star Rating |
| 3 |
5 |
|
Health Inspections Star Rating |
| 4 |
5 |
|
Nurse Staffing Star Rating |
|
5 |
|
Quality Measures Star Rating |
| 1 |
3 |
|
RN Only Star Rating |
|
5 |
| Number of Certified Beds |
| 20 |
15 |
|
Total Number of Residents |
| 10 |
10 |
|
Percent of Occupied Beds |
| 50 % |
67 % |
| Health Survey Date |
| 6/23/2011 |
7/13/2011 |
| Fire Survey Date |
| 7/20/2011 |
7/13/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare |
Medicare |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| Yes |
Yes |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| None |
None |
| 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 |
| 1 |
|
|
| Staff Information |
| Number of Residents |
| 16 |
10 |
| Number of RN Hours Per Resident Per Day |
| 5.79 |
4.13 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.67 |
3.02 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 6.46 |
7.15 |
| Number of CNA Hours Per Resident Per Day |
| 0.17 |
0.22 |
| Number Therapy Hours Per Resident Per Day |
| 0.17 |
0.22 |
| 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: 08/19/2010date Of Correction: 09/06/2010 |
|
| Quality Measures Q1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 51.3 % |
52.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.6 % |
90.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.3 % |
94.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 0.9 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 49.2 % |
56.1 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.6 % |
91.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 92.1 % |
91.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.3 % |
75.2 % |