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BELMONT LODGE HEALTH CARE CENTER

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BELMONT LODGE HEALTH CARE CENTER VS
Nursing Homes USA
General
City PUEBLO   0.1% Nursing Homes USA have PUEBLO
State attribute explanation CO   1.3% Nursing Homes USA have CO
Street 1601 CONSTITUTION ROAD  
Zip Code 81001  
Phone 7195627200  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
120 
108.94
Total Number of Residents
79 
91.25
Percent of Occupied Beds
66 %
83.65 %
Health Survey Date 11/29/2011  
Fire Survey Date 12/14/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 14  
Staff Information
Number of Residents
79 
91.38
Number of RN Hours Per Resident Per Day
0.71 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.72 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.43 
1.59
Number of CNA Hours Per Resident Per Day
0.13 
5.49
Number Therapy Hours Per Resident Per Day
0.13 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 11/29/2011
date Of Correction: 12/29/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 11/29/2011
date Of Correction: 12/29/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 04/16/2010
date Of Correction: Not Available 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 05/17/2012
date Of Correction: 06/15/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 09/21/2011
date Of Correction: 10/25/2011 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 09/21/2011
date Of Correction: 10/24/2011 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 09/21/2011
date Of Correction: 10/24/2011 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/21/2011
date Of Correction: 10/24/2011 
Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.
survey Date: 01/26/2011
date Of Correction: 03/08/2011 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 01/26/2011
date Of Correction: 03/08/2011 
Deficiency #8 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 01/26/2011
date Of Correction: 03/08/2011 
Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 01/26/2011
date Of Correction: 03/08/2011 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/21/2011
date Of Correction: 10/24/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/26/2011
date Of Correction: 03/08/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.4 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
27.4 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
10.6 %
12.58 %
Percent of long-stay residents who lose too much weight
4.1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
41.5 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
13.5 %
15.63 %
Percent of long-stay residents with a urinary tract infection
9.6 %
13.46 %
Percent of long-stay residents who have depressive symptoms
5.3 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
35.6 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
89.2 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
91.6 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
45.90
Percent of long-stay residents experiencing one or more falls with major injury
10.5 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
27.5 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
0.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
25.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 10.7:1 % 
Percent of long-stay residents who lose too much weight
4.3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
44.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 12.6:1 % 
Percent of long-stay residents with a urinary tract infection
6.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
3.2 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
7.8 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
34.4 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
77.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
79.8 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
18.4 %
17.34 %

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