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Kenton Manor
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850 27th Avenue
Greeley, CO 80634
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Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 114 |
| 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
Health Inspections
Most Recent Inspection: 11/11/2010
| Date of last standard health inspection: | 11/11/2010 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 15 |
| 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 |
| Have a program to keep infection from spreading. | 09/08/2011 | 10/11/2011 | 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. | 09/08/2011 | 10/11/2011 | 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 |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 09/08/2011 | 10/11/2011 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 09/08/2011 | 10/11/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident's personal and medical records private and confidential. | 09/08/2011 | 10/11/2011 | Potential for minimal harm | Pattern |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 11/11/2010 | 12/15/2010 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 11/11/2010 | 12/15/2010 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | 11/11/2010 | 12/15/2010 | 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. | 11/11/2010 | 12/15/2010 | Minimal harm or potential for actual harm | Isolated |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 11/11/2010 | 12/15/2010 | Minimal harm or potential for actual harm | Pattern |
| Properly mark drugs and other similar products. | 11/11/2010 | 12/15/2010 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 11/11/2010 | 12/15/2010 | Minimal harm or potential for actual harm | Pattern |
| Give each resident care and services to get or keep the highest quality of life possible. | 11/11/2010 | 12/15/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. | 11/11/2010 | 12/15/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give the resident's legal representative the same rights as the resident. | 11/11/2010 | 12/15/2010 | Minimal harm or potential for actual harm | Pattern |
Inspection, 10/21/2009
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate and appropriate medical records. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Pattern |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
||||
| 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. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Isolated |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Pattern |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | 10/21/2009 | 11/18/2009 | 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. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | 10/21/2009 | 11/18/2009 | Minimal harm or potential for actual harm | Isolated |
Inspection, 01/13/2009
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | 01/13/2009 | 02/11/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide services to meet the needs and preferences of each resident. | 01/13/2009 | 02/17/2009 | Minimal harm or potential for actual harm | Pattern |
Inspection, 11/19/2008
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 11/19/2008 | 12/17/2008 | Minimal harm or potential for actual harm | Isolated |
| Have a program to keep infection from spreading. | 11/19/2008 | 12/17/2008 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
||||
| 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. | 11/19/2008 | 12/17/2008 | Minimal harm or potential for actual harm | Isolated |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 11/19/2008 | 12/17/2008 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
||||
| 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. | 11/19/2008 | 12/17/2008 | Minimal harm or potential for actual harm | Pattern |
| Give each resident care and services to get or keep the highest quality of life possible. | 11/19/2008 | 12/30/2008 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | 11/19/2008 | 12/17/2008 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 11/19/2008 | 12/17/2008 | Minimal harm or potential for actual harm | Pattern |
| Make sure that doctors visit residents regularly, as required. | 11/19/2008 | 12/17/2008 | Minimal harm or potential for actual harm | Isolated |
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 | 74 | 78 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 37 minutes | 1 hour 20 minutes |
|
RN Hours per Resident per Day |
40 minutes | 51 minutes | 40 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 45 minutes | 40 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 18 minutes | 1 hour 50 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
| Percent of high-risk long-stay residents who have pressure sores | 10% |
| Percent of long-stay residents given influenza vaccination during the flu season | 88% |
| Percent of long-stay residents who are more depressed or anxious | 30% |
| Percent of long-stay residents who had a urinary tract infection | 7% |
| Percent of long-stay residents who have moderate to severe pain | 1% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 7% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 3% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 84% |
| Percent of long-stay residents who were physically restrained | 2% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 5% |
| Percent of long-stay residents whose need for help with daily activities has increased | 7% |
| 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 | 40% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 6% |
| Percent of short-stay residents given influenza vaccination during the flu season | 75% |
| Percent of short-stay residents who had moderate to severe pain | 14% |
| Percent of short-stay residents who have delirium | 0% |
| Percent of short-stay residents who have pressure sores | 4% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 80% |
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: 11/23/2010
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 11/23/2010 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 6 |
| 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 |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly working alarms on sprinkler valves. | 11/23/2010 | 01/02/2011 | Minimal harm or potential for actual harm | Widespread |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 11/23/2010 | 01/02/2011 | 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. | 11/23/2010 | 01/02/2011 | Minimal harm or potential for actual harm | Pattern |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| resident room doors of proper design and width. | 11/23/2010 | 01/02/2011 | Minimal harm or potential for actual harm | Isolated |
Illumination and Emergency Power Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| emergency lighting that can last at least 1 1/2 hours. | 11/23/2010 | 01/02/2011 | Minimal harm or potential for actual harm | Pattern |
Medical Gases and Anesthetizing Areas Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper fire barriers, ventilation and signs for the transport of oxygen. | 11/23/2010 | 01/02/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 11/17/2009
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 11/17/2009 | 01/08/2010 | 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 |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | 11/17/2009 | 12/14/2009 | Minimal harm or potential for actual harm | Isolated |
| corridor and hallway doors that block smoke. | 11/17/2009 | 12/14/2009 | Minimal harm or potential for actual harm | Pattern |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 11/17/2009 | 12/14/2009 | Minimal harm or potential for actual harm | Pattern |
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. | 11/17/2009 | 01/08/2010 | Minimal harm or potential for actual harm | Isolated |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are free from obstructions and can be used at all times. | 11/17/2009 | 12/14/2009 | Minimal harm or potential for actual harm | Isolated |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| construction that can resist fire for one hour or an approved fire extinguishing system. | 11/17/2009 | 12/14/2009 | Minimal harm or potential for actual harm | Isolated |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| at least two compartments on every floor to protect residents from smoke. | 11/17/2009 | 12/14/2009 | Minimal harm or potential for actual harm | Isolated |
| smoke barrier doors that can resist smoke for at least 20 minutes. | 11/17/2009 | 12/14/2009 | Minimal harm or potential for actual harm | Isolated |
Inspection, 12/17/2008
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 12/17/2008 | 01/21/2009 | 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 |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 12/17/2008 | 01/15/2009 | Minimal harm or potential for actual harm | Isolated |
| properly protected cooking facilities. | 12/17/2008 | 01/26/2009 | Minimal harm or potential for actual harm | Isolated |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 12/17/2008 | 12/30/2008 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 12/17/2008 | 01/16/2009 | Minimal harm or potential for actual harm | Isolated |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 12/17/2008 | 01/16/2009 | Minimal harm or potential for actual harm | Pattern |
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. | 12/17/2008 | 01/16/2009 | Minimal harm or potential for actual harm | Isolated |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| restrictions on the use of highly flammable materials. | 12/17/2008 | 01/16/2009 | Minimal harm or potential for actual harm | Isolated |
| restrictions on the use of flammable curtains. | 12/17/2008 | 12/30/2008 | Minimal harm or potential for actual harm | Isolated |
Illumination and Emergency Power Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| emergency lighting that can last at least 1 1/2 hours. | 12/17/2008 | 01/16/2009 | Minimal harm or potential for actual harm | Isolated |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | 12/17/2008 | 12/30/2008 | Minimal harm or potential for actual harm | Isolated |
Smoking Regulations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | 12/17/2008 | 01/05/2009 | Minimal harm or potential for actual harm | Isolated |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| proper stairway enclosures and vertical shafts. | 12/17/2008 | 01/05/2009 | Minimal harm or potential for actual harm | Isolated |
