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Gunnison Valley Health Senior Care Center
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1500 W Tomichi Ave
Gunnison, CO 81230
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Details
| Type of Ownership | Government - County |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 59 |
| 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: 10/20/2011
| Date of last standard health inspection: | 10/20/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 8 |
| 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. | 10/20/2011 | 11/21/2011 | 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. | 10/20/2011 | 11/25/2011 | 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 |
| Properly mark drugs and other similar products. | 10/20/2011 | 11/11/2011 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the needs of each resident. | 10/20/2011 | 11/16/2011 | 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. | 10/20/2011 | 11/25/2011 | Minimal harm or potential for actual harm | Isolated |
| Give the right treatment and services to residents who have mental or social problems adjusting. | 10/20/2011 | 11/15/2011 | Minimal harm or potential for actual harm | Isolated |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 10/20/2011 | 01/03/2012 | Actual harm | Isolated |
Resident Rights Deficiencies |
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| 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. | 10/20/2011 | 11/15/2011 | Minimal harm or potential for actual harm | Pattern |
Inspection, 06/16/2010
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a detailed, written plan for disasters and emergencies. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Widespread |
| Train all employees on what to do in an emergency. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Widespread |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 06/16/2010 | 07/21/2010 | 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 | 07/21/2010 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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 | Isolated |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | 06/16/2010 | 07/21/2010 | 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. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly mark drugs and other similar products. | 06/16/2010 | 07/21/2010 | 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. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | 06/16/2010 | 07/21/2010 | 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. | 06/16/2010 | 07/21/2010 | 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 |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 06/16/2010 | 07/21/2010 | 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 |
| Provide services to meet the needs and preferences of each resident. | 06/16/2010 | 07/21/2010 | Minimal harm or potential for actual harm | Isolated |
Inspection, 09/10/2009
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep safe, clean and homelike surroundings. | 09/10/2009 | 10/06/2009 | 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. | 09/10/2009 | 10/13/2009 | 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 |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 09/10/2009 | 10/13/2009 | Minimal harm or potential for actual harm | Isolated |
| Store, cook, and give out food in a safe and clean way. | 09/10/2009 | 10/13/2009 | Minimal harm or potential for actual harm | Widespread |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give professional services that meet a professional standard of quality. | 09/10/2009 | 10/13/2009 | Minimal harm or potential for actual harm | Pattern |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Do a new assessment after any major change in a resident's physical or mental health. | 09/10/2009 | 10/13/2009 | Minimal harm or potential for actual harm | Isolated |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 09/10/2009 | 10/13/2009 | Minimal harm or potential for actual harm | Isolated |
| 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. | 09/10/2009 | 10/13/2009 | Minimal harm or potential for actual harm | Isolated |
| Keep assessments completed in the preceding 15 months in the resident's active record. | 09/10/2009 | 10/13/2009 | 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 |
| Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | 09/10/2009 | 10/13/2009 | Minimal harm or potential for actual harm | Isolated |
| Provide proof that all residents' personal money which is deposited with the nursing home, is secure. | 09/10/2009 | 09/22/2009 | Minimal harm or potential for actual harm | Widespread |
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 | 5 out of 5 stars |
| Total Number of Residents | 86 | 74 | 46 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 37 minutes | 1 hour 34 minutes |
|
RN Hours per Resident per Day |
40 minutes | 51 minutes | 58 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 45 minutes | 36 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 18 minutes | 3 hours 16 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 | 6% |
| Percent of long-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of long-stay residents who are more depressed or anxious | 21% |
| Percent of long-stay residents who had a urinary tract infection | 10% |
| Percent of long-stay residents who have moderate to severe pain | 2% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 5% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 1% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 90+% |
| Percent of long-stay residents who were physically restrained | 14% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 20% |
| Percent of long-stay residents whose need for help with daily activities has increased | 31% |
| 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 | 67% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 13% |
| Percent of short-stay residents given influenza vaccination during the flu season | 90+% |
| Percent of short-stay residents who had moderate to severe pain | 3% |
| Percent of short-stay residents who have delirium | 0% |
| Percent of short-stay residents who have pressure sores | 0% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 90+% |
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: 11/10/2011
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 11/10/2011 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 10 |
| 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 |
| automatic sprinkler systems that have been maintained in working order. | 11/10/2011 | 00/00/0000 | 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. | 11/10/2011 | 00/00/0000 | Minimal harm or potential for actual harm | Isolated |
| properly protected cooking facilities. | 11/10/2011 | 00/00/0000 | Minimal harm or potential for actual harm | Isolated |
| restrictions on the use of portable space heaters. | 11/10/2011 | 00/00/0000 | 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. | 11/10/2011 | 00/00/0000 | 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. | 11/10/2011 | 00/00/0000 | 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. | 11/10/2011 | 00/00/0000 | 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. | 11/10/2011 | 00/00/0000 | Minimal harm or potential for actual harm | Pattern |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly located and lighted "Exit" signs. | 11/10/2011 | 00/00/0000 | 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 |
| smoke barrier doors that can resist smoke for at least 20 minutes. | 11/10/2011 | 00/00/0000 | Minimal harm or potential for actual harm | Isolated |
Inspection, 07/02/2010
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly protected cooking facilities. | 07/02/2010 | 07/27/2010 | 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. | 07/02/2010 | 07/29/2010 | 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. | 07/02/2010 | 07/02/2010 | Minimal harm or potential for actual harm | Isolated |
Illumination and Emergency Power Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly located and lighted "Exit" signs. | 07/02/2010 | 07/29/2010 | 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. | 07/02/2010 | 07/29/2010 | 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 |
| smoke barrier doors that can resist smoke for at least 20 minutes. | 07/02/2010 | 07/29/2010 | 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. | 07/02/2010 | 07/29/2010 | Minimal harm or potential for actual harm | Pattern |
Inspection, 09/29/2009
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. | 09/29/2009 | 10/01/2009 | Minimal harm or potential for actual harm | Isolated |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 09/29/2009 | 09/30/2009 | 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. | 09/29/2009 | 09/30/2009 | 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. | 09/29/2009 | 10/01/2009 | 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. | 09/29/2009 | 09/30/2009 | 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 |
| smoke barrier doors that can resist smoke for at least 20 minutes. | 09/29/2009 | 09/30/2009 | Minimal harm or potential for actual harm | Pattern |
