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BRIARWOOD HEALTH CARE CENTER

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BRIARWOOD HEALTH CARE CENTER VS
Nursing Homes USA
General
City DENVER   0.2% Nursing Homes USA have DENVER
State attribute explanation CO   1.3% Nursing Homes USA have CO
Street 1440 VINE STREET  
Zip Code 80206  
Phone 3033990350  
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
201 
108.94
Total Number of Residents
86 
91.25
Percent of Occupied Beds
43 %
83.65 %
Health Survey Date 10/20/2010  
Fire Survey Date 11/17/2010  
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? No  68.7% Nursing Homes USA don't 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 24  
Staff Information
Number of Residents
76 
91.38
Number of RN Hours Per Resident Per Day
1.52 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.78 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
2.29 
1.59
Number of CNA Hours Per Resident Per Day
0.17 
5.49
Number Therapy Hours Per Resident Per Day
0.17 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 02/07/2011
date Of Correction: 03/07/2011 
Deficiency #2 Scope: Few
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: 08/13/2009
date Of Correction: 09/18/2009 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/19/2009
date Of Correction: 06/21/2009 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 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: 01/27/2010
date Of Correction: 03/09/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: 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: 08/13/2009
date Of Correction: 09/18/2009 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 08/13/2009
date Of Correction: 09/18/2009 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.
survey Date: 06/12/2012
date Of Correction: 07/12/2012 
Deficiency #2 Scope: Few
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: 03/02/2010
date Of Correction: 03/31/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: 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: 03/02/2010
date Of Correction: 03/31/2010 
Deficiency #4 Scope: Some
level Of Harm: 2
deficiency: Listen To The Resident Or Family Groups Or Act On Their Complaints Or Suggestions.
survey Date: 02/12/2010
date Of Correction: 03/09/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/20/2011
date Of Correction: 01/17/2012 
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: 03/02/2010
date Of Correction: 03/31/2010 
Deficiency #3 Scope: Few
level Of Harm: 3
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 01/27/2010
date Of Correction: 03/09/2010 
Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 01/27/2010
date Of Correction: 03/09/2010 
Deficiency #5 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: 01/27/2010
date Of Correction: 03/09/2010 
Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 08/13/2009
date Of Correction: 09/18/2009 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/13/2009
date Of Correction: 09/18/2009 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 05/19/2009
date Of Correction: 06/21/2009 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 03/02/2010
date Of Correction: 03/31/2010 
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: 05/19/2009
date Of Correction: 06/21/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Or Get X-rays And Other Tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 05/19/2009
date Of Correction: 06/21/2009 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: 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: 08/13/2009
date Of Correction: 09/18/2009 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 05/19/2009
date Of Correction: 06/21/2009 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That Special Or Therapeutic Diets Are Ordered By The Attending Doctor.
survey Date: 05/19/2009
date Of Correction: 06/21/2009 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.6 (79.9) %
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
17 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 8.9 / 9.9 % 
Percent of long-stay residents who lose too much weight
8.7 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder 8.1 / 8.8 % 
Percent of long-stay residents with a urinary tract infection
7.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
8.7 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
51.3 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
42.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
3.8 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
5.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
24 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
2.20 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
16 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
12.4-2413.6-24 %
9.22 %
Percent of long-stay residents who lose too much weight
9 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.4 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
6.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
6.5 %
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
3.2 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
27.3 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
28.4 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
23.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
13 %
17.34 %

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