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Grace Manor Care Center
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465 Fifth Street
Burlington, CO 80807
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0 Recommendations
Details
| Type of Ownership | For profit - Partnership |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 37 |
| 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: 08/19/2011
| Date of last standard health inspection: | 08/19/2011 |
| 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 |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Train all employees on what to do in an emergency. | 08/19/2011 | 09/16/2011 | Minimal harm or potential for actual harm | Pattern |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep adequate and comfortable lighting in all areas. | 08/19/2011 | 09/16/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 08/19/2011 | 09/16/2011 | 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. | 08/19/2011 | 09/16/2011 | 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. | 08/19/2011 | 09/16/2011 | 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. | 08/19/2011 | 09/16/2011 | 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. | 08/19/2011 | 09/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | 08/19/2011 | 09/16/2011 | 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. | 08/19/2011 | 09/16/2011 | 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 |
| Try to resolve each resident's complaints quickly. | 08/19/2011 | 09/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 08/19/2011 | 09/16/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | 08/19/2011 | 09/16/2011 | Minimal harm or potential for actual harm | Pattern |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Hire nurse aides who have completed required training and shown that they are skilled. | 05/11/2011 | 06/08/2011 | Minimal harm or potential for actual harm | Isolated |
| Get proof that a nurse aide has the training and skills that the State requires. | 05/11/2011 | 06/08/2011 | 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. | 05/11/2011 | 06/08/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 06/16/2010
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Train all employees on what to do in an emergency. | 06/16/2010 | 06/30/2010 | Minimal harm or potential for actual harm | Widespread |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 06/16/2010 | 06/22/2010 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Pattern |
| Have a program to keep infection from spreading. | 06/16/2010 | 07/15/2010 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from physical restraints, unless needed for medical treatment. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Isolated |
| 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. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Pattern |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents are well nourished. | 06/16/2010 | 07/08/2010 | Minimal harm or potential for actual harm | Widespread |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 06/16/2010 | 07/12/2010 | Minimal harm or potential for actual harm | Widespread |
| Provide food in a way that meets a resident's needs. | 06/16/2010 | 07/12/2010 | Minimal harm or potential for actual harm | Isolated |
| Store, cook, and give out food in a safe and clean way. | 06/16/2010 | 07/12/2010 | Minimal harm or potential for actual harm | Widespread |
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. | 06/16/2010 | 07/06/2010 | Minimal harm or potential for actual harm | Isolated |
| Give each resident care and services to get or keep the highest quality of life possible. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
||||
| 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. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Isolated |
| Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | 06/16/2010 | 07/07/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 09/03/2009
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. | 09/03/2009 | 10/02/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 09/03/2009 | 09/08/2009 | 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. | 09/03/2009 | 09/29/2009 | Minimal harm or potential for actual harm | Isolated |
Inspection, 04/02/2009
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep each resident free from drugs that restrain them, unless needed for medical treatment. | 04/02/2009 | 05/01/2009 | Minimal harm or potential for actual harm | Isolated |
| 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. | 04/02/2009 | 05/01/2009 | Minimal harm or potential for actual harm | Isolated |
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. | 04/02/2009 | 05/01/2009 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the needs of each resident. | 04/02/2009 | 06/01/2009 | Minimal harm or potential for actual harm | Pattern |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | 04/02/2009 | 04/17/2009 | Minimal harm or potential for actual harm | Isolated |
| Give or get special rehabilitation if in the patient's plan of care. | 04/02/2009 | 04/21/2009 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 04/02/2009 | 05/01/2009 | 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 | 4 out of 5 stars |
| Total Number of Residents | 86 | 74 | 34 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 37 minutes | 1 hour 7 minutes |
|
RN Hours per Resident per Day |
40 minutes | 51 minutes | 41 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 45 minutes | 26 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 18 minutes | 2 hours 31 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 | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 12% |
| Percent of long-stay residents who had a urinary tract infection | 1% |
| Percent of long-stay residents who have moderate to severe pain | 5% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 9% |
| 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 | 90+% |
| Percent of long-stay residents who were physically restrained | 34% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 11% |
| Percent of long-stay residents whose need for help with daily activities has increased | 10% |
| 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 | 42% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 9% |
| Percent of short-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of short-stay residents who had moderate to severe pain | 50% |
| 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 | 89% |
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: 09/13/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 09/13/2011 |
| 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 |
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. | 09/13/2011 | 09/13/2011 | 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. | 09/13/2011 | 09/13/2011 | 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. | 09/13/2011 | 09/14/2011 | Minimal harm or potential for actual harm | Pattern |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved installation, maintenance and testing program for fire alarm systems. | 09/13/2011 | 09/13/2011 | 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 |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | 09/13/2011 | 10/10/2011 | Minimal harm or potential for actual harm | Widespread |
Inspection, 07/13/2010
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 07/13/2010 | 07/27/2010 | 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. | 07/13/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Isolated |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 07/13/2010 | 08/13/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 09/30/2009
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 09/30/2009 | 10/28/2009 | Minimal harm or potential for actual harm | Isolated |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 09/30/2009 | 10/27/2009 | Minimal harm or potential for actual harm | Isolated |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved installation, maintenance and testing program for fire alarm systems. | 09/30/2009 | 10/17/2009 | Minimal harm or potential for actual harm | Isolated |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire safety features required by current fire safety codes. | 09/30/2009 | 10/30/2009 | Minimal harm or potential for actual harm | Isolated |
