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Cheyenne Mountain Care And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 159
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: 03/06/2012

Date of last standard health inspection: 03/06/2012
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

Inspection, 00/02/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/02/2009 02/02/2009 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/02/2009 02/02/2009 2 Some
Have a program that investigates, controls and keeps infection from spreading. 00/02/2009 02/02/2009 2 Many
Provide bedrooms that don't allow residents to see each other when privacy is needed. 00/02/2009 02/02/2009 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/02/2009 02/02/2009 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 00/02/2009 02/02/2009 2 Few
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. 00/02/2009 02/02/2009 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. 00/02/2009 02/02/2009 1 Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/02/2009 02/02/2009 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. 00/02/2009 02/02/2009 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/02/2009 02/02/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/02/2009 02/02/2009 2 Some
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. 00/02/2009 02/02/2009 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 00/02/2009 02/02/2009 2 Few
Ensure residents maintain acceptable nutritional status. 00/02/2009 02/02/2009 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. 00/02/2009 02/02/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 00/02/2009 02/02/2009 2 Few
Give residents a notice of rights, rules, services and charges. 00/02/2009 02/02/2009 2 Few
Keep residents' personal and medical records private and confidential. 00/02/2009 02/02/2009 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/02/2009 02/02/2009 2 Few

Inspection, 02/00/2008

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. 02/00/2008 00/00/0000 3 Few

Inspection, 01/03/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe 01/03/2007 00/03/2008 comfortable and home-like environment; and allow r clean
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/03/2007 00/03/2008 Few grooming and personal and oral hygiene.

Inspection, 00/09/2004

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. 00/09/2004 00/00/0000 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/09/2004 00/00/0000 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/09/2004 00/00/0000 2 Many
Store 00/09/2004 00/00/0000 and serve food in a safe and clean way. cook
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. 00/09/2004 00/00/0000 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/09/2004 00/00/0000 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/09/2004 00/00/0000 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2004 00/00/0000 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 00/09/2004 00/00/0000 2 Few
Ensure residents maintain acceptable nutritional status. 00/09/2004 00/00/0000 2 Few
Provide or obtain dental services for each resident. 00/09/2004 00/00/0000 2 Few
Provide activities to meet the interests and needs of each resident. 00/09/2004 00/00/0000 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. 00/09/2004 00/00/0000 2 Few
Resident Rights Deficiencies
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. 00/09/2004 00/00/0000 2 Some

Inspection, 00/06/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/06/2003 01/07/2004 2 Few
Keep accurate 00/06/2003 01/07/2004 Few complete and organized clinical records on each re
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. 00/06/2003 00/09/2005 3 Few
Have a program that investigates, controls and keeps infection from spreading. 00/06/2003 01/07/2004 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/06/2003 01/07/2004 2 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2003 01/07/2004 3 Few
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. 00/06/2003 01/07/2004 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/06/2003 01/07/2004 2 Some
Quality Care Deficiencies
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. 00/06/2003 01/07/2004 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/06/2003 01/07/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2003 01/07/2004 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/06/2003 01/07/2004 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. 00/06/2003 01/07/2004 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. 00/06/2003 01/07/2004 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/06/2003 01/07/2004 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. 00/06/2003 00/09/2005 2 Few

Inspection, 01/04/2001

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking 01/04/2001 00/00/0000 Some grooming and personal and oral hygiene.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 01/04/2001 00/00/0000 2 Some

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 73 139
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 17 hours 54 minutes 1 hour 44 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 17 hours 10 minutes 56 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 58 minutes 48 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 18 hours 39 minutes 2 hours 1 minute

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

Short-Term Residents

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: 04/04/2012

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 04/04/2012
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

Inspection, 02/09/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/09/2009 00/01/2010 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/09/2009 02/09/2009 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/09/2009 02/09/2009 2 Few
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. 02/09/2009 02/09/2009 2 Few
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/09/2009 02/09/2009 2 Few

Inspection, 02/05/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/05/2004 00/00/0000 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/05/2004 00/00/0000 2 Some
Building Service Equipment Deficiencies
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. 02/05/2004 00/00/0000 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/05/2004 00/00/0000 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/05/2004 00/00/0000 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/05/2004 00/00/0000 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/05/2004 00/00/0000 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/05/2004 00/00/0000 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 02/05/2004 00/00/0000 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/05/2004 00/00/0000 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/05/2004 00/00/0000 2 Some

Inspection, 00/04/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/04/2004 01/04/2005 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/04/2004 01/04/2005 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/04/2004 01/04/2005 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/04/2004 01/04/2005 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/04/2004 01/04/2005 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/04/2004 01/04/2005 2 Some
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. 00/04/2004 01/04/2005 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 00/04/2004 01/04/2005 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/04/2004 01/04/2005 2 Few
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. 00/04/2004 01/04/2005 2 Few
Properly located and lighted Exit" signs." 00/04/2004 01/04/2005 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/04/2004 01/04/2005 2 Some
 

835 Tenderfoot Hill Road
Colorado Springs, CO 80906

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