| General |
| City |
| Fort Morgan |
Pueblo |
| State attribute explanation |
| Co |
Co |
| Street |
| 815 Fremont Ave |
400 W 16th Street 3rd Floor |
| Zip Code |
| 80,701 |
81,003 |
| Phone |
| 9,708,678,261 |
7,195,844,000 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 3 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
|
|
Quality Measures Star Rating |
| 1 |
1 |
|
RN Only Star Rating |
| 5 |
|
|
Number of Certified Beds |
| 120 |
20 |
|
Total Number of Residents |
| 73 |
10 |
|
Percent of Occupied Beds |
| 61 % |
50 % |
| Health Survey Date |
| 11/17/2011 |
6/23/2011 |
| Fire Survey Date |
| 12/14/2011 |
7/20/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
Yes |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
None |
| 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 |
|
1 |
|
| Staff Information |
| Number of Residents |
| 73 |
16 |
| Number of RN Hours Per Resident Per Day |
| 1.33 |
5.79 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.45 |
0.67 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.78 |
6.46 |
| Number of CNA Hours Per Resident Per Day |
| 0.18 |
0.17 |
| Number Therapy Hours Per Resident Per Day |
| 0.18 |
0.17 |
| 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 who received an antipsychotic medication |
| 10.3:1 |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
0.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.5 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.5 % |
|
| Percent of long-stay residents who lose too much weight |
| 10.5 % |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 61.1 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 7.9:1 |
|
| Percent of long-stay residents with a urinary tract infection |
| 14 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 3.3 % |
|
| Percent of long-stay residents who were physically restrained |
| 1.6 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 10.7:1 |
51.3 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.5 % |
94.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.8 % |
92.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
0.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 6.6 % |
|
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.7:1 |
|
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 18.4 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.4 % |
|
| Percent of long-stay residents who lose too much weight |
| 13.9 / 15.3 |
|
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 65.6 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 9.3 % |
|
| Percent of long-stay residents with a urinary tract infection |
| 14 % |
|
| Percent of long-stay residents who have depressive symptoms |
| 2.8 % |
|
| Percent of long-stay residents who were physically restrained |
| 3.9 % |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 8.3 % |
|
| Percent of short-stay residents who self-report moderate to severe pain |
| 11.7 % |
49.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 91.8 % |
94.6 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.8 % |
92.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.6 / 3 |
1.3 % |