| General |
| City |
| Thornton |
Denver |
| State attribute explanation |
| Co |
Co |
| Street |
| 2501 E 104th Ave |
3185 West Arkansas Avenue |
| Zip Code |
| 80,233 |
80,219 |
| Phone |
| 3,034,524,181 |
3,039,221,169 |
|
Overall Star Rating |
| 2 |
3 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 1 |
4 |
|
RN Only Star Rating |
| 5 |
3 |
|
Number of Certified Beds |
| 160 |
85 |
|
Total Number of Residents |
| 129 |
78 |
|
Percent of Occupied Beds |
| 81 % |
92 % |
| Health Survey Date |
| 9/19/2011 |
7/13/2011 |
| Fire Survey Date |
| 10/12/2011 |
7/28/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| 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 |
1 |
| # of deficiencies |
| 13 |
4 |
|
| Staff Information |
| Number of Residents |
| 129 |
78 |
| Number of RN Hours Per Resident Per Day |
| 0.97 |
0.65 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.49 |
0.97 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.46 |
1.63 |
| Number of CNA Hours Per Resident Per Day |
| 0.04 |
0.07 |
| Number Therapy Hours Per Resident Per Day |
| 0.04 |
0.07 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/19/2012date Of Correction: 05/29/2012 |
|
| Deficiency #2 |
| Scope: Fewlevel 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: 09/19/2011date Of Correction: 10/17/2011 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 09/19/2011date Of Correction: 10/17/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 08/17/2009date Of Correction: 09/01/2009 |
| Deficiency #2 |
|
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: 07/07/2009date Of Correction: 08/04/2009 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.survey Date: 09/19/2011date Of Correction: 10/17/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 11/24/2009date Of Correction: 12/28/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 09/19/2011date Of Correction: 10/17/2011 |
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 07/07/2009date Of Correction: 08/04/2009 |
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 09/19/2011date Of Correction: 10/17/2011 |
|
| Deficiency #4 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.survey Date: 09/19/2011date Of Correction: 10/17/2011 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.survey Date: 09/19/2011date Of Correction: 10/17/2011 |
|
| Deficiency #2 |
| 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: 09/19/2011date Of Correction: 10/17/2011 |
|
| 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: 09/19/2011date Of Correction: 10/17/2011 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 09/19/2011date Of Correction: 10/17/2011 |
|
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.survey Date: 09/19/2011date Of Correction: 10/17/2011 |
|
| Deficiency #3 |
| Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 04/11/2011date Of Correction: 04/26/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 13 % |
21.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.7 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 19 % |
6.1 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.1 % |
4.9 % |
| Percent of long-stay residents who lose too much weight |
| 5.5 % |
7.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 76.9 % |
11.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
7 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.3 % |
10.1:1 |
| Percent of long-stay residents who have depressive symptoms |
| 1.8 % |
1.4 % |
| Percent of long-stay residents who were physically restrained |
| 3.6 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 30.6 % |
15.6 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.8 % |
89.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 72.9 % |
59.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
1 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 8.2 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 12.9 (55.2) |
28.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.4 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 16.3:1 |
6.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
7.6 % |
| Percent of long-stay residents who lose too much weight |
| 6.3 % |
8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 71 % |
15 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.7 % |
7.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 9.1 % |
11.6:1 |
| Percent of long-stay residents who have depressive symptoms |
| 1.7 % |
1.9 % |
| Percent of long-stay residents who were physically restrained |
| 3.7 % |
0.5 - 2.0 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 7.9:1 |
2.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.9 % |
19.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 83.5 % |
90.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 72.1 % |
81.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 13.9 / 15.3 |
3.2 % |