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EBEN EZER LUTHERAN CARE CENTER

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EBEN EZER LUTHERAN CARE CENTER VS
Nursing Homes USA
General
City BRUSH   0% Nursing Homes USA have BRUSH
State attribute explanation CO   1.3% Nursing Homes USA have CO
Street 122 HOSPITAL ROAD  
Zip Code 80723  
Phone 9708422861  
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
132 
108.94
Total Number of Residents
108 
91.25
Percent of Occupied Beds
82 %
83.65 %
Health Survey Date 5/10/2012  
Fire Survey Date 6/7/2012  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
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
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies 3  
Staff Information
Number of Residents
108 
91.38
Number of RN Hours Per Resident Per Day
0.55 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.74 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.29 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
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: 11/18/2009
date Of Correction: 12/24/2009 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Residents' Abilities In Activities Of Daily Living Do Not Decline, Unless Unavoidable.
survey Date: 05/10/2012
date Of Correction: 06/05/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/10/2012
date Of Correction: 06/05/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
26.2 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased 2.6 / 3 % 
Percent of long-stay residents who self-report moderate to severe pain
27.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
7.8 %
12.58 %
Percent of long-stay residents who lose too much weight
11.5 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
52.6 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.8 %
15.63 %
Percent of long-stay residents with a urinary tract infection
6.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms 13.1:1 % 
Percent of long-stay residents who were physically restrained
2.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
17.9 (64.2) %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
66.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
55.3 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
6.5 %
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 8.1 / 8.8 % 
Percent of long-stay residents who self-report moderate to severe pain
26.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
6 %
9.22 %
Percent of long-stay residents who lose too much weight
10.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
45 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
11.1 %
9.58 %
Percent of long-stay residents who have depressive symptoms
14.6 %
19.86 %
Percent of long-stay residents who were physically restrained
2.20 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
24.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
75 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
61.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
14.2 %
17.34 %

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