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Pearl Street Health And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 81
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: 02/14/2012

Date of last standard health inspection: 02/14/2012
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, 03/00/2008

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. 03/00/2008 00/00/0000 2 Few
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. 03/00/2008 00/00/0000 2 Few
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. 03/00/2008 00/00/0000 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2008 00/00/0000 2 Few

Inspection, 00/06/2006

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 00/06/2006 01/03/2007 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. 00/06/2006 01/03/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/06/2006 01/03/2007 3 Few

Inspection, 00/03/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/03/2004 00/06/2005 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. 00/03/2004 00/06/2005 2 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. 00/03/2004 00/06/2005 2 Few

Inspection, 01/04/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 01/04/2002 02/00/2003 2 Some
Maintain comfortable and safe temperature levels. 01/04/2002 02/00/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2002 02/06/2003 2 Few
Have a program that investigates, controls and keeps infection from spreading. 01/04/2002 02/06/2003 2 Many
Provide a safe 01/04/2002 02/00/2003 comfortable and home-like environment; and allow r clean
Maintain comfortable and safe temperature levels. 01/04/2002 02/00/2003 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/04/2002 02/06/2003 2 Few
Have a program that investigates 01/04/2002 02/06/2003 Many controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/04/2002 02/00/2003 2 Few
Keep each resident free from physical restraints 01/04/2002 02/00/2003 Few unless needed for medical treatment.
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. 01/04/2002 02/00/2003 2 Some
Prepare food that is nutritional 01/04/2002 02/00/2003 tasty appetizing
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. 01/04/2002 02/06/2003 2 Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/04/2002 02/06/2003 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2002 02/00/2003 2 Some
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. 01/04/2002 02/06/2003 2 Some
Keep the rate of medication errors (wrong drug 01/04/2002 02/06/2003 wrong time) to less than 5%. wrong dose
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/04/2002 02/00/2003 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. 01/04/2002 02/06/2003 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 01/04/2002 02/00/2003 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/04/2002 02/06/2003 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/04/2002 02/06/2003 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/04/2002 02/06/2003 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 01/04/2002 02/00/2003 2 Few
Assist those residents who need help with eating/drinking 01/04/2002 02/06/2003 Few grooming and personal and oral hygiene.
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/04/2002 02/06/2003 2 Some
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. 01/04/2002 02/06/2003 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/04/2002 02/06/2003 2 Few
Develop a complete care plan that meets all the resident's needs 01/04/2002 02/06/2003 Few with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/04/2002 02/06/2003 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. 01/04/2002 02/06/2003 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/04/2002 02/06/2003 2 Some

Inspection, 00/08/2001

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. 00/08/2001 00/07/2002 2 Few
Provide timely notification to the resident before transfer or discharge. 00/08/2001 00/07/2002 2 Few
Tell the resident or the resident 00/08/2001 00/07/2002 2 Some

Inspection, 00/06/2001

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. 00/06/2001 01/00/2002 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. 00/06/2001 01/00/2002 2 Few
Provide bedrooms that don't allow residents to see each other when privacy is needed. 00/06/2001 01/00/2002 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. 00/06/2001 01/00/2002 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. 00/06/2001 01/00/2002 2 Many
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. 00/06/2001 01/00/2002 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/06/2001 01/00/2002 2 Few

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 55
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 17 hours 54 minutes 1 hour 32 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 17 hours 10 minutes 44 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 15 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: 03/09/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/09/2012
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, 00/02/2005

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. 00/02/2005 00/00/0000 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/02/2005 00/00/0000 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 00/02/2005 00/00/0000 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/02/2005 00/00/0000 2 Many

Inspection, 00/02/2002

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/02/2002 00/01/2003 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/02/2002 01/07/2002 2 Some
 

3636 South Pearl Street
Englewood, CO 80110

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