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Devonshire Acres
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1330 North Sidney Avenue
Sterling, CO 80751
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 84 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 08/10/2011
| Date of last standard health inspection: | 08/10/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in CO: | 3 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in CO: | 0 - 12 |
Inspection, 03/00/2008
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 03/00/2008 | 00/03/2010 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 03/00/2008 | 00/02/2010 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 03/00/2008 | 00/02/2010 | 2 | Some |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 03/00/2008 | 00/02/2010 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | 03/00/2008 | 00/02/2010 | 2 | Some |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 03/00/2008 | 00/02/2010 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 03/00/2008 | 00/02/2010 | 2 | Few |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 03/00/2008 | 00/02/2010 | 2 | Few |
| Ensure residents maintain acceptable nutritional status. | 03/00/2008 | 00/02/2010 | 2 | Some |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | 03/00/2008 | 00/02/2010 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 03/00/2008 | 00/02/2010 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 03/00/2008 | 00/02/2010 | 2 | Few |
| Keep residents' personal and medical records private and confidential. | 03/00/2008 | 00/02/2010 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 03/00/2008 | 00/02/2010 | 2 | Some |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | 03/00/2008 | 00/02/2010 | 2 | Few |
Inspection, 01/00/2008
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/00/2008 | 01/00/2009 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 01/00/2008 | 01/00/2009 | 2 | Some |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | 01/00/2008 | 01/00/2009 | 2 | Some |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 01/00/2008 | 01/00/2009 | 2 | Some |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 01/00/2008 | 01/00/2009 | 2 | Few |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 01/00/2008 | 01/00/2009 | 2 | Some |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 01/00/2008 | 01/00/2009 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 01/00/2008 | 01/00/2009 | 2 | Few |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 01/00/2008 | 01/00/2009 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Allow residents the right to participate in the planning or revision of care and treatment. | 01/00/2008 | 01/00/2009 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 01/00/2008 | 00/06/2009 | 1 | Some |
| Allow residents to easily view the results of the nursing home's most recent inspection. | 01/00/2008 | 00/06/2009 | 1 | Many |
Inspection, 03/00/2006
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 03/00/2006 | 02/07/2007 | 2 | Few |
Inspection, 02/05/2002
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 02/05/2002 | 02/04/2003 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/05/2002 | 02/04/2003 | 2 | Some |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 02/05/2002 | 02/04/2003 | 2 | Some |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 02/05/2002 | 02/04/2003 | 2 | Many |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 02/05/2002 | 02/04/2003 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 02/05/2002 | 02/04/2003 | 2 | Few |
| Ensure services provided by the nursing facility meet professional standards of quality. | 02/05/2002 | 02/04/2003 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/05/2002 | 02/04/2003 | 2 | Few |
| Ensure residents maintain acceptable nutritional status. | 02/05/2002 | 02/04/2003 | 3 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/05/2002 | 02/04/2003 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 02/05/2002 | 02/04/2003 | 2 | Some |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | 02/05/2002 | 02/04/2003 | 2 | Some |
| Reasonably accommodate the needs and preferences of each resident. | 02/05/2002 | 02/04/2003 | 2 | Few |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in CO | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 3 out of 5 stars |
| Total Number of Residents | 85 | 73 | 76 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 6 hours 3 minutes | 1 hour 21 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 5 hours 20 minutes | 36 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 5 hours 7 minutes | 45 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 6 hours 47 minutes | 2 hours 25 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 08/25/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 08/25/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in CO: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in CO: | 0 - 0 |
Inspection, 02/00/2009
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 02/00/2009 | 01/02/2010 | 2 | Few |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 02/00/2009 | 01/02/2010 | 2 | Some |
Miscellaneous Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Other fire safety features required by fire safety codes. | 02/00/2009 | 01/02/2010 | 2 | Few |
Inspection, 02/05/2008
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly working alarms on sprinkler valves. | 02/05/2008 | 00/04/2010 | 2 | Few |
| Automatic sprinkler systems that have been maintained in working order. | 02/05/2008 | 00/04/2010 | 2 | Few |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 02/05/2008 | 02/01/2009 | 2 | Few |
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 02/05/2008 | 00/04/2010 | 2 | Some |
| Properly protected cooking facilities. | 02/05/2008 | 02/01/2009 | 2 | Some |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 02/05/2008 | 00/02/2009 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 02/05/2008 | 00/04/2010 | 2 | Few |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 02/05/2008 | 02/03/2009 | 2 | Few |
| Record of quarterly fire drills for each shift under varying conditions. | 02/05/2008 | 02/03/2009 | 2 | Some |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 02/05/2008 | 00/04/2010 | 2 | Few |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Restrictions on the use of flammable curtains. | 02/05/2008 | 00/04/2010 | 2 | Few |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 02/05/2008 | 00/07/2009 | 2 | Few |
Illumination and Emergency Power Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper backup exit lighting. | 02/05/2008 | 02/03/2009 | 2 | Few |
| Emergency lighting that can last at least 1 1/2 hours. | 02/05/2008 | 00/04/2010 | 2 | Few |
Medical Gases and Anesthetizing Areas Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | 02/05/2008 | 00/04/2010 | 2 | Few |
Inspection, 02/05/2003
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 02/05/2003 | 01/03/2004 | 2 | Few |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 02/05/2003 | 01/03/2004 | 2 | Few |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 02/05/2003 | 01/03/2004 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 02/05/2003 | 01/03/2004 | 2 | Few |
| Properly installed electrical wiring and equipment. | 02/05/2003 | 01/03/2004 | 2 | Few |
Hazardous Area Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 02/05/2003 | 01/03/2004 | 2 | Few |
