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SPRING CREEK HEALTH CARE CENTER

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SPRING CREEK HEALTH CARE CENTER VS
Nursing Homes USA
General
City FORT COLLINS   0.1% Nursing Homes USA have FORT COLLINS
State attribute explanation CO   1.3% Nursing Homes USA have CO
Street 1000 EAST STUART STREET  
Zip Code 80525  
Phone 9704825712  
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
138 
108.94
Total Number of Residents
97 
91.25
Percent of Occupied Beds
70 %
83.65 %
Health Survey Date 10/25/2011  
Fire Survey Date 11/10/2011  
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 - Limited Liability Company  1.1% Nursing Homes USA have For profit - Limited liability company
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 23  
Staff Information
Number of Residents
97 
91.38
Number of RN Hours Per Resident Per Day
0.83 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.79 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.62 
1.59
Number of CNA Hours Per Resident Per Day
0.09 
5.49
Number Therapy Hours Per Resident Per Day
0.09 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 
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: 10/25/2011
date Of Correction: 11/28/2011 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 
Deficiency #4 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: 06/30/2011
date Of Correction: Not Available 
Deficiency #5 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: 01/12/2011
date Of Correction: 03/01/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 01/12/2011
date Of Correction: 03/01/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 09/21/2010
date Of Correction: 10/26/2010 
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: 01/15/2010
date Of Correction: 02/21/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/25/2011
date Of Correction: 11/28/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.
survey Date: 01/12/2011
date Of Correction: 03/01/2011 
Deficiency #3 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: 01/12/2011
date Of Correction: 03/01/2011 
Deficiency #4 Scope: Few
level Of Harm: 2
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: 10/14/2009
date Of Correction: 12/03/2009 
Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 10/14/2009
date Of Correction: 12/03/2009 
Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 10/14/2009
date Of Correction: 12/10/2009 
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: 10/25/2011
date Of Correction: 11/28/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.
survey Date: 09/21/2010
date Of Correction: 10/26/2010 
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: 10/25/2011
date Of Correction: 11/28/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 06/30/2011
date Of Correction: Not Available 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 01/12/2011
date Of Correction: 03/01/2011 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 10/25/2011
date Of Correction: 11/28/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
13.8 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
2.20 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
14 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
5 %
12.58 %
Percent of long-stay residents who lose too much weight
9.6 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
67.4 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
13.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
13.3 %
13.46 %
Percent of long-stay residents who have depressive symptoms
9.6 %
28.38 %
Percent of long-stay residents who were physically restrained
1.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
29.5 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
64.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
67 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
5.3 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
1.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14.2 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1.50 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 19.1:1 % 
Percent of long-stay high-risk residents with pressure ulcers
4.7 %
9.22 %
Percent of long-stay residents who lose too much weight
9.7 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
56.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
12.5 %
10.65 %
Percent of long-stay residents with a urinary tract infection 8.9 / 9.9 % 
Percent of long-stay residents who have depressive symptoms 10.1:1 % 
Percent of long-stay residents who were physically restrained
1.9 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
2.7 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
32.1 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
64.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
63.1 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 12.8:1 % 

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