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Cedars Healthcare Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 130
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: 06/15/2011

Date of last standard health inspection: 06/15/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 3
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
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. 02/07/2012 02/06/2001 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/07/2012 02/06/2001 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
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. 02/07/2012 02/06/2001 2 Few

Inspection, 01/00/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/00/2010 01/05/2011 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/00/2010 01/00/2010 2 Some
Mistreatment Deficiencies
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. 01/00/2010 02/05/2010 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Offer other nutritional food to each resident who will not eat the food served. 01/00/2010 01/05/2011 2 Some
Store, cook, and serve food in a safe and clean way. 01/00/2010 03/00/2010 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. 01/00/2010 01/05/2011 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/00/2010 01/00/2010 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. 01/00/2010 01/05/2011 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/00/2010 01/00/2010 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/00/2010 01/08/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Upon the death of a resident, convey the resident 01/00/2010 01/05/2010 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/00/2010 01/09/2010 2 Few

Inspection, 01/05/2006

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/05/2006 01/08/2007 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2006 01/08/2007 2 Some
Dispose of garbage and refuse properly. 01/05/2006 01/08/2007 2 Many
Have a program that investigates, controls and keeps infection from spreading. 01/05/2006 01/08/2007 2 Many
Provide bedrooms that don't allow residents to see each other when privacy is needed. 01/05/2006 01/08/2007 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/05/2006 01/08/2007 2 Some
Mistreatment Deficiencies
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. 01/05/2006 01/08/2007 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/05/2006 01/08/2007 2 Some
Nutrition and Dietary Deficiencies
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. 01/05/2006 01/08/2007 2 Few
Store, cook, and serve food in a safe and clean way. 01/05/2006 01/08/2007 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. 01/05/2006 01/08/2007 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. 01/05/2006 01/08/2007 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/05/2006 01/08/2007 2 Some
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. 01/05/2006 01/08/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/05/2006 01/08/2007 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 01/05/2006 01/08/2007 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/05/2006 01/08/2007 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/05/2006 01/08/2007 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. 01/05/2006 01/08/2007 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/05/2006 01/08/2007 2 Few
Provide or obtain dental services for each resident. 01/05/2006 01/08/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/05/2006 01/08/2007 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 01/05/2006 01/08/2007 2 Some
Assist those residents who need help with eating/drinking 01/05/2006 01/08/2007 Few grooming and personal and oral hygiene.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/05/2006 01/08/2007 2 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. 01/05/2006 01/08/2007 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/05/2006 01/08/2007 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/05/2006 01/08/2007 2 Few
Try to resolve each resident's complaints quickly. 01/05/2006 01/08/2007 2 Few
Provide residents with private access to a telephone. 01/05/2006 01/08/2007 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/05/2006 01/08/2007 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. 01/05/2006 01/08/2007 2 Some

Inspection, 00/05/2004

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. 00/05/2004 00/05/2005 2 Few

Inspection, 00/01/2004

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month 00/01/2004 03/00/2004 Few have a licensed pharmacist review each resident's
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 00/01/2004 01/00/2005 2 Few

Inspection, 01/01/2002

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 01/01/2002 02/07/2003 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/01/2002 02/07/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/01/2002 02/07/2003 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/01/2002 01/00/2005 2 Many
Mistreatment Deficiencies
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. 01/01/2002 02/07/2003 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. 01/01/2002 02/07/2003 2 Some
Store, cook, and serve food in a safe and clean way. 01/01/2002 02/07/2003 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/01/2002 02/07/2003 2 Some
Ensure that residents are safe from serious medication errors. 01/01/2002 02/07/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 01/01/2002 02/07/2003 2 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/01/2002 02/07/2003 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/01/2002 02/07/2003 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2002 02/07/2003 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2002 02/07/2003 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. 01/01/2002 02/07/2003 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. 01/01/2002 02/07/2003 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/01/2002 02/07/2003 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. 01/01/2002 02/07/2003 2 Some
Reasonably accommodate the needs and preferences of each resident. 01/01/2002 02/07/2003 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 94
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 17 hours 54 minutes 2 hours 1 minute
RN Hours
per Resident per Day
16 hours 3 minutes 17 hours 10 minutes 52 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 58 minutes 1 hour 9 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 18 hours 39 minutes 2 hours 6 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: 07/08/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 07/08/2011
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, 02/05/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/05/2010 00/08/2011 2 Some
Back-up procedures in place for a faulty automatic sprinkler system. 02/05/2010 02/08/2010 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/05/2010 01/02/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/05/2010 02/08/2010 2 Some
Properly installed electrical wiring and equipment. 02/05/2010 01/05/2011 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. 02/05/2010 03/00/2010 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 02/05/2010 00/05/2011 2 Few
Exits that are accessible at all times. 02/05/2010 00/05/2011 2 Many
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. 02/05/2010 01/06/2011 2 Some
Restrictions on the use of highly flammable decorations. 02/05/2010 03/00/2010 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. 02/05/2010 00/08/2011 2 Some
Properly installed hallway dispensers for alcohol-based hand rub. 02/05/2010 02/06/2010 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. 02/05/2010 02/06/2010 2 Many
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. 02/05/2010 00/04/2012 2 Many
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. 02/05/2010 01/05/2011 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." 02/05/2010 02/06/2010 2 Some

Inspection, 00/08/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/08/2007 01/07/2008 2 Many
Portable fire extinguishers. 00/08/2007 01/07/2008 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/08/2007 01/07/2008 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An externally vented heating system. 00/08/2007 01/07/2008 2 Few
Properly protected cooking facilities. 00/08/2007 01/07/2008 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/08/2007 01/07/2008 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/08/2007 00/08/2009 2 Many
Properly installed electrical wiring and equipment. 00/08/2007 01/07/2008 2 Some
Exit and Exit Access Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least two remote exits on each floor or fire section of the building. 00/08/2007 01/07/2008 2 Some
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. 00/08/2007 00/08/2009 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 00/08/2007 00/01/2009 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. 00/08/2007 01/07/2008 2 Many
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. 00/08/2007 01/07/2008 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. 00/08/2007 01/07/2008 2 Few

Inspection, 00/03/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 00/03/2003 00/01/2004 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/03/2003 00/09/2003 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/03/2003 01/00/2003 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. 00/03/2003 01/07/2003 2 Some
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. 00/03/2003 01/09/2003 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. 00/03/2003 01/00/2003 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." 00/03/2003 00/09/2004 2 Some
 

1599 Ingalls St
Lakewood, CO 80214

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