| General |
| City |
| Yuma |
Lakewood |
| State attribute explanation |
| Co |
Co |
| Street |
| 323 West 9th Avenue |
1625 Simms Street |
| Zip Code |
| 80,759 |
80,215 |
| Phone |
| 9,708,485,804 |
3,032,388,161 |
|
Overall Star Rating |
| 3 |
2 |
|
Health Inspections Star Rating |
| 4 |
1 |
|
Nurse Staffing Star Rating |
| 1 |
4 |
|
Quality Measures Star Rating |
| 4 |
2 |
|
RN Only Star Rating |
| 1 |
4 |
|
Number of Certified Beds |
| 58 |
57 |
|
Total Number of Residents |
| 51 |
44 |
|
Percent of Occupied Beds |
| 88 % |
77 % |
| Health Survey Date |
| 1/26/2011 |
12/7/2011 |
| Fire Survey Date |
| 2/23/2011 |
12/21/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicaid |
| Type of Ownership |
| For Profit - Limited Liability Company |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
24 |
|
| Staff Information |
| Number of Residents |
| 51 |
44 |
| Number of RN Hours Per Resident Per Day |
| 0.31 |
0.6 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.8 |
0.61 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.1 |
1.21 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
75.2 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
|
| Environmental Deficiencies |
| Deficiency #1 |
|
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: 06/21/2012date Of Correction: 07/20/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 12/07/2011date Of Correction: 01/31/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 06/22/2011date Of Correction: Not Available |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 10/06/2010date Of Correction: 11/19/2010 |
| Deficiency #5 |
|
Scope: Somelevel Of Harm: 2deficiency: Maintain Comfortable And Safe Temperature Levels.survey Date: 08/17/2010date Of Correction: Not Available |
| Deficiency #6 |
|
Scope: Manylevel Of Harm: 2deficiency: Make Sure That A Working Call System Is Available In Each Resident's Room Or Bathroom And Bathing Area.survey Date: 04/15/2010date Of Correction: 05/28/2010 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/15/2010date Of Correction: 05/28/2010 |
| Deficiency #8 |
|
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: 09/14/2009date Of Correction: 10/27/2009 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 05/07/2009date Of Correction: 06/05/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel 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: 06/21/2012date Of Correction: 07/20/2012 |
| Deficiency #2 |
|
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: 06/22/2011date Of Correction: Not Available |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 3deficiency: 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: 08/17/2010date Of Correction: Not Available |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 3deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 08/17/2010date Of Correction: Not Available |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 06/21/2012date Of Correction: 07/20/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 08/17/2010date Of Correction: Not Available |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 06/21/2012date Of Correction: 07/20/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 06/21/2012date Of Correction: 07/20/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/21/2012date Of Correction: 07/20/2012 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 12/07/2011date Of Correction: 01/31/2012 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/07/2011date Of Correction: 01/31/2012 |
| Deficiency #6 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 08/17/2010date Of Correction: Not Available |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 09/14/2009date Of Correction: 10/27/2009 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 05/07/2009date Of Correction: 06/05/2009 |
| 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: 06/21/2012date Of Correction: 07/20/2012 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 2.20 % |
59 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 8.8 % |
|
| Percent of long-stay residents who lose too much weight |
| 6.8 % |
9.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 46.7 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 9.3 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.8 % |
75.2 % |
| Percent of long-stay residents who have depressive symptoms |
| 14.3 % |
4.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
7.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.9 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 90.9 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 100 % |
|
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.4 % |
2.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 5.2 % |
58.5 % |
| 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 |
| 6.2 % |
9.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.9 % |
12.5 % |
| Percent of long-stay residents who lose too much weight |
| 7.6 % |
8.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 47.7 % |
50 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 12.9 (55.2) |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.9 % |
6.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.6:1 |
3.1 % |
| Percent of long-stay residents who were physically restrained |
| 1.50 % |
7.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.50 % |
3.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 6.8 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 94.4 % |
37.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.8 % |
31.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 4 % |
|