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WOODRIDGE TERRACE NURSING AND REHABILITATION

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WOODRIDGE TERRACE NURSING AND REHABILITATION VS
Nursing Homes USA
General
City COMMERCE CITY   0% Nursing Homes USA have COMMERCE CITY
State attribute explanation CO   1.3% Nursing Homes USA have CO
Street 5230 EAST 66TH WAY  
Zip Code 80022  
Phone 3032891848  
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
105 
108.94
Total Number of Residents
86 
91.25
Percent of Occupied Beds
82 %
83.65 %
Health Survey Date 5/15/2012  
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 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
75.2 
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 23  
Staff Information
Number of Residents
86 
91.38
Number of RN Hours Per Resident Per Day
0.82 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.84 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.65 
1.59
Number of CNA Hours Per Resident Per Day
0.07 
5.49
Number Therapy Hours Per Resident Per Day
0.07 
0.10
Environmental Deficiencies
Deficiency #1 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: 12/29/2011
date Of Correction: 01/27/2012 
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: 09/14/2011
date Of Correction: Not Available 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 09/14/2011
date Of Correction: Not Available 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/15/2010
date Of Correction: 10/20/2010 
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: 09/15/2010
date Of Correction: 12/09/2010 
Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 09/15/2010
date Of Correction: 10/20/2010 
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: 09/15/2010
date Of Correction: 10/20/2010 
Resident Rights Deficiencies
Deficiency #1 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: 12/29/2011
date Of Correction: 01/27/2012 
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: 09/14/2011
date Of Correction: Not Available 
Deficiency #3 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: 09/15/2010
date Of Correction: 10/20/2010 
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: 12/29/2011
date Of Correction: 01/27/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration.
survey Date: 09/14/2011
date Of Correction: Not Available 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.
survey Date: 09/14/2011
date Of Correction: Not Available 
Deficiency #4 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: 09/15/2010
date Of Correction: 10/20/2010 
Deficiency #5 Scope: Some
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 09/15/2010
date Of Correction: 10/20/2010 
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: 09/15/2010
date Of Correction: 10/20/2010 
Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 08/10/2010
date Of Correction: 09/03/2010 
Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 08/10/2010
date Of Correction: 09/03/2010 
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: 09/15/2010
date Of Correction: 10/20/2010 
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: 12/29/2011
date Of Correction: 01/27/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/15/2010
date Of Correction: 10/20/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
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: 09/15/2010
date Of Correction: 10/20/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 09/14/2011
date Of Correction: Not Available 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
34.5 %
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 14.7:1 % 
Percent of long-stay high-risk residents with pressure ulcers
8.3 %
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
40 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.4 %
15.63 %
Percent of long-stay residents with a urinary tract infection
2.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
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
48.8 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
45.8 %
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
1.3 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
32.8 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
15.2 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 8.1 / 8.8 % 
Percent of long-stay residents who lose too much weight
4.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
35.4 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
4.6 %
9.58 %
Percent of long-stay residents who have depressive symptoms
0.8 %
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
2.1 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
18.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
51.7 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
51.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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