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Devonshire Acres

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
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
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 03/00/2006 02/07/2007 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report

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 86 73 76
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 17 hours 54 minutes 1 hour 21 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 17 hours 10 minutes 36 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 58 minutes 45 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 18 hours 39 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
 

1330 North Sidney Avenue
Sterling, CO 80751

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