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1401 Phay Avenue
Canon City, CO 81212
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| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 90 |
| 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
| Date of last standard health inspection: | 02/16/2012 |
| 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 |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 01/02/2008 | 00/04/2010 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/02/2008 | 01/03/2009 | 2 | Some |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 01/02/2008 | 00/09/2009 | 2 | Many |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/02/2008 | 01/03/2009 | 2 | Some |
Mistreatment Deficiencies |
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| 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. | 01/02/2008 | 01/03/2009 | 2 | Few |
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. | 01/02/2008 | 01/03/2009 | 2 | Some |
Pharmacy Service Deficiencies |
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| 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. | 01/02/2008 | 01/03/2009 | 2 | Some |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 01/02/2008 | 01/03/2009 | 2 | Some |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 01/02/2008 | 01/03/2009 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/02/2008 | 01/01/2010 | 2 | Some |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/02/2008 | 01/03/2009 | 2 | Few |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 01/02/2008 | 01/03/2009 | 2 | Some |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/02/2008 | 01/01/2010 | 2 | Some |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/02/2008 | 01/03/2009 | 2 | Few |
| Properly care for residents needing special services | 01/02/2008 | 01/03/2009 | colostomy | including: injections |
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 the resident's needs, with timetables and actions that can be measured. | 01/02/2008 | 01/03/2009 | 2 | Some |
Resident Rights Deficiencies |
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| 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. | 01/02/2008 | 01/03/2009 | 2 | Some |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | 01/02/2008 | 01/03/2009 | 2 | Some |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | 01/02/2008 | 01/03/2009 | 2 | Some |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 03/00/2006 | 02/09/2007 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 03/00/2006 | 02/09/2007 | 2 | Few |
| Ensure services provided by the nursing facility meet professional standards of quality. | 03/00/2006 | 02/09/2007 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 03/00/2006 | 02/09/2007 | 2 | Some |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | 03/00/2006 | 02/09/2007 | 2 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 03/00/2006 | 02/09/2007 | 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. | 03/00/2006 | 02/09/2007 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that residents are fully informed and understand their health status, care and treatments. | 03/00/2006 | 02/09/2007 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 03/00/2006 | 02/09/2007 | 2 | Some |
| Reasonably accommodate the needs and preferences of each resident. | 03/00/2006 | 02/09/2007 | 2 | Few |
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | 02/09/2006 | 00/04/2008 | 2 | Few |
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. | 02/09/2006 | 00/04/2008 | 3 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/09/2006 | 00/04/2008 | 2 | Few |
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. | 01/06/2002 | 01/06/2003 | 2 | Some |
| Store, cook, and serve food in a safe and clean way. | 01/06/2002 | 01/06/2003 | 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. | 01/06/2002 | 01/06/2003 | 2 | Few |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 01/06/2002 | 01/06/2003 | 2 | Few |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 01/06/2002 | 01/06/2003 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/06/2002 | 01/06/2003 | 2 | Few |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | 01/06/2002 | 01/06/2003 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 01/06/2002 | 01/06/2003 | 2 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 01/06/2002 | 01/06/2003 | 2 | Few |
| Ensure residents maintain acceptable nutritional status. | 01/06/2002 | 01/06/2003 | 2 | Few |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 01/06/2002 | 01/06/2003 | 2 | Some |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 01/06/2002 | 01/06/2003 | 2 | Few |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 01/06/2002 | 01/06/2003 | 2 | Few |
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. | 01/06/2002 | 01/06/2003 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/06/2002 | 01/06/2003 | 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. | 01/06/2002 | 01/06/2003 | 2 | Some |
| Reasonably accommodate the needs and preferences of each resident. | 01/06/2002 | 01/06/2003 | 2 | Few |
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 | 5 out of 5 stars |
| Total Number of Residents | 86 | 74 | 85 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
16 hours 19 minutes | 17 hours 43 minutes | 1 hour 41 minutes |
|
RN Hours per Resident per Day |
15 hours 30 minutes | 17 hours | 54 minutes |
|
LPN/LVN Hours per Resident per Day |
15 hours 45 minutes | 16 hours 47 minutes | 47 minutes |
|
CNA Hours per Resident per Day |
17 hours 14 minutes | 18 hours 28 minutes | 2 hours 34 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.
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 | Yes |
| Date of last standard fire safety inspection: | 03/13/2012 |
| 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 |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 00/08/2009 | 02/09/2009 | 2 | Some |
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly protected cooking facilities. | 00/08/2009 | 02/07/2009 | 2 | Few |
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. | 00/08/2009 | 00/04/2010 | 2 | Few |
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. | 00/08/2009 | 00/09/2009 | 2 | Some |
| Restrictions on the use of flammable curtains. | 00/08/2009 | 00/07/2010 | 2 | Few |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Emergency lighting that can last at least 1 1/2 hours. | 00/08/2009 | 02/08/2009 | 2 | Few |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Other fire safety features required by fire safety codes. | 00/08/2009 | 00/06/2010 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 00/08/2009 | 02/07/2009 | 2 | Some |
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/04/2007 | 01/01/2008 | 2 | Some |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 01/04/2007 | 01/07/2007 | 2 | Few |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/04/2007 | 02/01/2007 | 2 | Some |
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. | 01/04/2007 | 00/05/2008 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/04/2007 | 00/06/2008 | 2 | Some |