| General |
| City |
| Montrose |
Denver |
| State attribute explanation |
| Co |
Co |
| Street |
| 1043 Ridge Street |
4450 East Jewell Avenue |
| Zip Code |
| 81,401 |
80,222 |
| Phone |
| 9,702,499,683 |
3,037,577,438 |
|
Overall Star Rating |
| 4 |
4 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 2 |
3 |
|
Quality Measures Star Rating |
| 5 |
3 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 104 |
106 |
| Total Number of Residents |
| 70 |
75 |
|
Percent of Occupied Beds |
| 67 % |
71 % |
| Health Survey Date |
| 8/5/2011 |
5/9/2012 |
| Fire Survey Date |
| 9/1/2011 |
6/5/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Limited Liability Company |
For Profit - Limited Liability Company |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
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 |
75.2 |
| # of deficiencies |
| 7 |
5 |
|
| Staff Information |
| Number of Residents |
| 70 |
75 |
| Number of RN Hours Per Resident Per Day |
| 0.86 |
0.59 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.55 |
0.93 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.41 |
1.52 |
| Number of CNA Hours Per Resident Per Day |
| 0.08 |
0.12 |
| Number Therapy Hours Per Resident Per Day |
| 0.08 |
0.12 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 02/16/2011date Of Correction: 03/23/2011 |
| Mistreatment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.survey Date: 03/31/2011date Of Correction: 05/05/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 03/31/2011date Of Correction: 05/05/2011 |
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/16/2011date Of Correction: 03/23/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 11/10/2009date Of Correction: 12/04/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.survey Date: 11/18/2009date Of Correction: 12/18/2009 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/23/2009date Of Correction: 07/27/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 11/10/2009date Of Correction: 12/04/2009 |
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: 02/16/2011date Of Correction: 03/23/2011 |
| 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: 03/31/2011date Of Correction: 05/05/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 11/10/2009date Of Correction: 12/04/2009 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel 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: 03/31/2011date Of Correction: 05/05/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.5 % |
3.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.5 % |
14.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 75.2 % |
4.8 % |
| Percent of long-stay residents who lose too much weight |
| 1.6 % |
6.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 55.1 % |
63.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.4 % |
7.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 3.2 % |
6.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
1.50 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.5 % |
41.5 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 79.6 % |
86.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
98.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
3.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.6 % |
1.50 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 16.7 % |
6.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.5 % |
13.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 1.1 % |
3.3 % |
| Percent of long-stay residents who lose too much weight |
| 1.2 % |
3.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 60.3 % |
63.3 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.9 % |
7.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.3 % |
6.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.6 % |
2.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
3.6 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3 % |
1.50 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.9 % |
34.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 42.9 % |
84.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
98.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 12.6:1 |
9.4 / 10.4 |