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Autumn Heights Health Care Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 125
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: 02/09/2012

Date of last standard health inspection: 02/09/2012
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, 02/08/2008

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. 02/08/2008 02/07/2009 3 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from drugs that restrain them 02/08/2008 02/07/2009 Few unless needed for medical treatment.
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. 02/08/2008 02/07/2009 2 Some
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. 02/08/2008 02/07/2009 3 Few
Properly care for residents needing special services 02/08/2008 02/07/2009 colostomy including: injections
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. 02/08/2008 02/07/2009 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 02/08/2008 02/07/2009 2 Some

Inspection, 02/01/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/01/2006 00/04/2008 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/01/2006 01/03/2008 3 Few
Have a program that investigates, controls and keeps infection from spreading. 02/01/2006 00/04/2008 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/01/2006 00/04/2008 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. 02/01/2006 00/04/2008 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. 02/01/2006 00/04/2008 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. 02/01/2006 00/04/2008 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. 02/01/2006 00/04/2008 2 Some
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/01/2006 00/04/2008 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/01/2006 00/04/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/01/2006 00/04/2008 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/01/2006 00/04/2008 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. 02/01/2006 01/03/2008 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. 02/01/2006 00/04/2008 2 Few
Ensure residents maintain acceptable nutritional status. 02/01/2006 00/04/2008 3 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/01/2006 00/04/2008 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/01/2006 00/04/2008 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 02/01/2006 00/00/0000 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/01/2006 00/00/0000 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/01/2006 00/00/0000 and that incontinent patients receive proper servi unless medically necessary
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/01/2006 00/00/0000 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 02/01/2006 00/04/2008 2 Few
Resident Rights Deficiencies
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. 02/01/2006 00/04/2008 2 Few
Provide written records when a resident is transferred or discharged. 02/01/2006 00/04/2008 2 Few
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. 02/01/2006 00/04/2008 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 02/01/2006 00/04/2008 2 Some
Reasonably accommodate the needs and preferences of each resident. 02/01/2006 00/04/2008 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 02/01/2006 00/00/0000 2 Some
Reasonably accommodate the needs and preferences of each resident. 02/01/2006 00/00/0000 2 Few

Inspection, 01/09/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/09/2003 02/02/2004 2 Some
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. 01/09/2003 02/02/2004 2 Many
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. 01/09/2003 02/02/2004 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/09/2003 02/02/2004 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/09/2003 01/06/2004 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. 01/09/2003 01/06/2004 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. 01/09/2003 02/02/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/09/2003 02/02/2004 2 Few
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. 01/09/2003 01/06/2004 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/09/2003 02/02/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/09/2003 02/02/2004 2 Few
Give notice to the resident before a room or roommate change. 01/09/2003 02/02/2004 2 Few

Inspection, 01/00/2003

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/00/2003 01/05/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/00/2003 01/04/2004 2 Few

Inspection, 00/09/2002

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. 00/09/2002 02/00/2003 2 Few
Dispose of garbage and refuse properly. 00/09/2002 02/00/2003 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/09/2002 02/00/2003 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
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. 00/09/2002 02/00/2003 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. 00/09/2002 02/00/2003 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. 00/09/2002 02/00/2003 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/09/2002 02/00/2003 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/09/2002 02/00/2003 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2002 02/00/2003 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/09/2002 02/00/2003 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. 00/09/2002 02/00/2003 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 00/09/2002 02/00/2003 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2002 02/00/2003 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/09/2002 02/00/2003 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/09/2002 02/00/2003 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 00/09/2002 02/00/2003 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. 00/09/2002 02/00/2003 2 Few
Give residents a notice of rights, rules, services and charges. 00/09/2002 02/00/2003 2 Many
Provide residents with private access to a telephone. 00/09/2002 02/00/2003 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/09/2002 02/00/2003 2 Few
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. 00/09/2002 02/00/2003 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 00/09/2002 02/00/2003 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 5 out of 5 stars
Total Number of Residents 86 73 98
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 17 hours 54 minutes 1 hour 42 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 17 hours 10 minutes 59 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 58 minutes 43 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 18 hours 39 minutes 2 hours 24 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

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: 03/08/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/08/2012
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, 02/00/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly working alarms on sprinkler valves. 02/00/2007 02/09/2008 2 Many
Automatic sprinkler systems that have been maintained in working order. 02/00/2007 02/09/2008 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/00/2007 02/09/2008 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An externally vented heating system. 02/00/2007 02/09/2008 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/00/2007 02/09/2008 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/00/2007 02/09/2008 2 Few
Record of quarterly fire drills for each shift under varying conditions. 02/00/2007 02/09/2008 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/00/2007 02/09/2008 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 02/00/2007 02/09/2008 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. 02/00/2007 02/09/2008 2 Few
Restrictions on the use of flammable curtains. 02/00/2007 02/09/2008 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. 02/00/2007 02/09/2008 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper fire barriers, ventilation and signs for the transfilling of oxygen. 02/00/2007 02/09/2008 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/00/2007 02/09/2008 2 Few

Inspection, 01/00/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/00/2004 00/00/0000 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/00/2004 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. 01/00/2004 00/00/0000 2 Few
Restrictions on the use of flammable curtains. 01/00/2004 00/00/0000 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. 01/00/2004 00/00/0000 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper fire barriers, ventilation and signs for the transfilling of oxygen. 01/00/2004 00/00/0000 2 Few

Inspection, 00/08/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/08/2003 00/06/2004 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/08/2003 00/06/2004 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. 00/08/2003 00/06/2004 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/08/2003 00/06/2004 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/08/2003 00/06/2004 2 Many
Properly installed electrical wiring and equipment. 00/08/2003 00/06/2004 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/08/2003 00/06/2004 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/08/2003 00/06/2004 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 00/08/2003 00/06/2004 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 00/08/2003 00/06/2004 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. 00/08/2003 00/06/2004 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. 00/08/2003 00/06/2004 2 Many
Properly located and lighted Exit" signs." 00/08/2003 00/06/2004 2 Some
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant interior walls. 00/08/2003 00/06/2004 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper fire barriers, ventilation and signs for the transfilling of oxygen. 00/08/2003 00/06/2004 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. 00/08/2003 00/06/2004 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/08/2003 00/06/2004 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/08/2003 00/06/2004 2 Few
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 00/08/2003 00/06/2004 2 Few
 

3131 South Federal Boulevard
Denver, CO 80236

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