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1655 Yarrow Street
Lakewood, CO 80214
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| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 110 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
| Date of last standard health inspection: | 09/02/2010 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 4 |
| Average number of Health Deficiencies in CO: | 12 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in CO: | 0 - 49 |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 09/02/2010 | 10/01/2010 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people who have 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. | 09/02/2010 | 10/01/2010 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 09/02/2010 | 10/01/2010 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 09/02/2010 | 10/01/2010 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 06/11/2009 | 07/10/2009 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 06/11/2009 | 07/10/2009 | Minimal harm or potential for actual harm | Widespread |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 06/11/2009 | 07/10/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 06/11/2009 | 07/10/2009 | Minimal harm or potential for actual harm | Pattern |
| Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | 06/11/2009 | 07/10/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 06/11/2009 | 07/10/2009 | Minimal harm or potential for actual harm | Pattern |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | 06/11/2009 | 07/10/2009 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep safe, clean and homelike surroundings. | 07/23/2008 | 08/22/2008 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 07/23/2008 | 08/22/2008 | Minimal harm or potential for actual harm | Pattern |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents are well nourished. | 07/23/2008 | 08/22/2008 | Minimal harm or potential for actual harm | Widespread |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 07/23/2008 | 08/22/2008 | Minimal harm or potential for actual harm | Widespread |
| Store, cook, and give out food in a safe and clean way. | 07/23/2008 | 08/22/2008 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 07/23/2008 | 08/22/2008 | Minimal harm or potential for actual harm | Isolated |
| Give professional services that meet a professional standard of quality. | 07/23/2008 | 08/22/2008 | Minimal harm or potential for actual harm | Isolated |
| Give or get special rehabilitation if in the patient's plan of care. | 07/23/2008 | 08/22/2008 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 07/23/2008 | 08/22/2008 | Minimal harm or potential for actual harm | Pattern |
| Electronically record and report resident status assessments in a timely manner as required in order to monitor resident health and progress. | 07/23/2008 | 08/22/2008 | Potential for minimal harm | Pattern |
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 | 4 out of 5 stars |
| Total Number of Residents | 86 | 74 | 91 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 37 minutes | 1 hour 57 minutes |
|
RN Hours per Resident per Day |
40 minutes | 51 minutes | 36 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 45 minutes | 1 hour 21 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 18 minutes | 2 hours 10 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.
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.
| Percent of high-risk long-stay residents who have pressure sores | 2% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 7% |
| Percent of long-stay residents who had a urinary tract infection | 3% |
| Percent of long-stay residents who have moderate to severe pain | 0% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 10% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 0% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 86% |
| Percent of long-stay residents who were physically restrained | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 3% |
| Percent of long-stay residents whose need for help with daily activities has increased | 4% |
| Percent of low-risk long-stay residents who have pressure sores | 0% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 43% |
| Percent of long-stay residents who lose too much weight | 3% |
| Percent of short-stay residents given influenza vaccination during the flu season | 89% |
| Percent of short-stay residents who had moderate to severe pain | Not Available |
| Percent of short-stay residents who have delirium | Not Available |
| Percent of short-stay residents who have pressure sores | Not Available |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | Not Available |
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.
| Automatic Sprinkler Systems in all required areas | partially sprinklered |
| Date of last standard fire safety inspection: | 09/29/2010 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 5 |
| Average number of Fire Safety Deficiencies in CO: | 7 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in CO: | 0 - 13 |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved automatic sprinkler system connected to the fire alarm system. | 09/29/2010 | 10/21/2010 | Minimal harm or potential for actual harm | Isolated |
| automatic sprinkler systems that have been maintained in working order. | 09/29/2010 | 10/05/2010 | Minimal harm or potential for actual harm | Isolated |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a properly installed and maintained dumbwaiter or escalator. | 09/29/2010 | 10/06/2010 | Minimal harm or potential for actual harm | Isolated |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 09/29/2010 | 09/29/2010 | Minimal harm or potential for actual harm | Isolated |
| an approved installation, maintenance and testing program for fire alarm systems. | 09/29/2010 | 10/21/2010 | Minimal harm or potential for actual harm | Isolated |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved automatic sprinkler system connected to the fire alarm system. | 07/07/2009 | 07/14/2009 | Minimal harm or potential for actual harm | Isolated |
| automatic sprinkler systems that have been maintained in working order. | 07/07/2009 | 07/14/2009 | Minimal harm or potential for actual harm | Isolated |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 07/07/2009 | 07/14/2009 | Minimal harm or potential for actual harm | Isolated |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved automatic sprinkler system connected to the fire alarm system. | 08/22/2008 | 09/19/2008 | Minimal harm or potential for actual harm | Widespread |
| automatic sprinkler systems that have been maintained in working order. | 08/22/2008 | 09/19/2008 | Minimal harm or potential for actual harm | Pattern |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 08/22/2008 | 09/19/2008 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 08/22/2008 | 09/19/2008 | Minimal harm or potential for actual harm | Isolated |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 08/22/2008 | 09/19/2008 | Minimal harm or potential for actual harm | Isolated |
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. | 08/22/2008 | 09/19/2008 | Minimal harm or potential for actual harm | Isolated |