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Elms Haven Care And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 242
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: 10/05/2011

Date of last standard health inspection: 10/05/2011
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, 00/05/2011

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure there is a pest control program to prevent/deal with mice 00/05/2011 00/00/0000 or other pests. insects
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 00/05/2011 00/00/0000 and serve food in a safe and clean way. cook

Inspection, 01/05/2010

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/05/2010 01/02/2011 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/05/2010

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. 00/05/2010 00/05/2012 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 00/05/2010 00/04/2011 2 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/05/2010 00/04/2011 2 Some
Make sure there is a pest control program to prevent/deal with mice 00/05/2010 00/04/2011 or other pests. insects
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. 00/05/2010 00/04/2011 2 Many
Store 00/05/2010 00/04/2011 and serve food in a safe and clean way. cook
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. 00/05/2010 00/04/2011 3 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/05/2010 00/04/2011 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. 00/05/2010 00/04/2011 3 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/05/2010 00/04/2011 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. 00/05/2010 00/05/2012 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. 00/05/2010 00/04/2011 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2010 00/04/2011 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 00/05/2010 00/04/2011 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/05/2010 00/04/2011 2 Few
Conduct initial and periodic assessments of each resident's functional capacity. 00/05/2010 00/04/2011 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Upon the death of a resident, convey the resident 00/05/2010 00/04/2011 1 Some
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 00/05/2010 00/04/2011 1 Some
Upon the death of a resident 00/05/2010 00/04/2011 Some convey the resident
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 00/05/2010 00/04/2011 1 Some

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 02/07/2009 2 Few
Have a program that investigates 03/00/2008 02/07/2009 Some controls and keeps infection from spreading.
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 02/07/2009 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2008 02/07/2009 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 03/00/2008 02/07/2009 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 03/00/2008 02/07/2009 3 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 03/00/2008 02/07/2009 and health care according to their interests their schedules

Inspection, 02/04/2008

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. 02/04/2008 02/07/2009 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/04/2008 02/07/2009 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. 02/04/2008 02/07/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide timely notification to the resident before transfer or discharge. 02/04/2008 02/07/2009 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 02/04/2008 02/07/2009 1 Some

Inspection, 02/07/2007

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/07/2007 00/00/0000 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional 02/07/2007 00/00/0000 tasty appetizing
Store 02/07/2007 00/00/0000 and serve food in a safe and clean way. cook
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. 02/07/2007 00/00/0000 2 Few
Properly care for residents needing special services 02/07/2007 00/00/0000 colostomy including: injections
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 02/07/2007 00/00/0000 Some with timetables and actions that can be measured.
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. 02/07/2007 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. 02/07/2007 00/00/0000 2 Some

Inspection, 02/03/2005

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. 02/03/2005 00/00/0000 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/03/2005 00/00/0000 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/03/2005 00/00/0000 3 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/03/2005 00/00/0000 and a family member of situations (injury/decline/ the resident's doctor
Try to resolve each resident's complaints quickly. 02/03/2005 00/00/0000 2 Few

Inspection, 02/02/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 02/02/2003 01/01/2004 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/02/2003 01/01/2004 2 Some
Keep accurate 02/02/2003 01/01/2004 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/02/2003 01/01/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2003 01/01/2004 4 Some
Have a program that investigates, controls and keeps infection from spreading. 02/02/2003 01/01/2004 2 Many
Have enough outside ventilation via a window or mechanical ventilation, or both. 02/02/2003 01/01/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/02/2003 01/01/2004 4 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 02/02/2003 01/01/2004 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. 02/02/2003 01/01/2004 2 Some
1) Hire only people with no legal history of abusing 02/02/2003 01/01/2004 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
Provide food in a way that meets a resident's needs. 02/02/2003 01/01/2004 2 Some
Store, cook, and serve food in a safe and clean way. 02/02/2003 01/01/2004 2 Many
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. 02/02/2003 01/01/2004 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/02/2003 01/01/2004 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. 02/02/2003 01/01/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2003 01/01/2004 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/02/2003 01/01/2004 3 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. 02/02/2003 01/01/2004 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. 02/02/2003 01/01/2004 2 Few
Ensure residents maintain acceptable nutritional status. 02/02/2003 01/01/2004 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/02/2003 01/01/2004 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/02/2003 01/01/2004 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/02/2003 01/01/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2003 01/01/2004 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/02/2003 01/01/2004 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/02/2003 01/01/2004 and that incontinent patients receive proper servi unless medically necessary
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. 02/02/2003 01/01/2004 2 Few
Ensure residents maintain acceptable nutritional status. 02/02/2003 01/01/2004 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/02/2003 01/01/2004 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. 02/02/2003 01/01/2004 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 02/02/2003 01/01/2004 2 Few
Make sure that doctors visit residents regularly, as required. 02/02/2003 01/01/2004 2 Some
Develop a complete care plan that meets all the resident's needs 02/02/2003 01/01/2004 Few with timetables and actions that can be measured.
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. 02/02/2003 01/01/2004 2 Few
Give residents a notice of rights, rules, services and charges. 02/02/2003 01/01/2004 2 Some
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. 02/02/2003 01/01/2004 2 Few
Keep residents' personal and medical records private and confidential. 02/02/2003 01/01/2004 2 Some
Allow residents to self-administer drugs if determined safe. 02/02/2003 01/01/2004 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/02/2003 01/01/2004 2 Few
Reasonably accommodate the needs and preferences of each resident. 02/02/2003 01/01/2004 2 Few
Reasonably accommodate the needs and preferences of each resident. 02/02/2003 01/01/2004 2 Few

Inspection, 00/03/2003

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. 00/03/2003 03/01/2003 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/03/2003 03/01/2003 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
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/03/2003 03/01/2003 3 Few

Inspection, 00/09/2001

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. 00/09/2001 00/08/2002 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/09/2001 00/08/2002 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. 00/09/2001 00/08/2002 2 Some
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/09/2001 00/08/2002 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/09/2001 00/08/2002 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/09/2001 00/08/2002 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 00/09/2001 00/08/2002 2 Few
Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. 00/09/2001 00/08/2002 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/09/2001 00/08/2002 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/09/2001 00/08/2002 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. 00/09/2001 00/08/2002 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/09/2001 00/08/2002 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/09/2001 00/08/2002 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 3 out of 5 stars
Total Number of Residents 86 73 196
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 17 hours 54 minutes 1 hour 31 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 17 hours 10 minutes 43 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 1 hour 58 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: 11/04/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 11/04/2011
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, 00/04/2011

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. 00/04/2011 00/05/2012 2 Some
Automatic sprinkler systems that have been maintained in working order. 00/04/2011 00/05/2012 2 Some
Back-up procedures in place for a faulty automatic sprinkler system. 00/04/2011 00/05/2012 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/04/2011 00/05/2012 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/04/2011 00/05/2012 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. 00/04/2011 00/05/2012 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/04/2011 00/05/2012 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved back-up procedure for a faulty fire alarm system. 00/04/2011 00/05/2012 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. 00/04/2011 00/05/2012 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. 00/04/2011 00/05/2012 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. 00/04/2011 00/05/2012 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. 00/04/2011 00/05/2012 2 Some

Inspection, 01/06/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/06/2004 02/00/2004 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. 01/06/2004 01/09/2004 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/06/2004 01/06/2004 2 Few
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. 01/06/2004 01/06/2004 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit stairways and towers that are smoke proof. 01/06/2004 01/06/2004 2 Few
Resident room doors of proper design and width. 01/06/2004 03/00/2004 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. 01/06/2004 01/06/2004 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. 01/06/2004 01/06/2004 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. 01/06/2004 01/06/2004 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/06/2004 01/06/2004 2 Few

Inspection, 00/01/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/01/2002 00/02/2004 2 Many
Portable fire extinguishers. 00/01/2002 00/02/2004 2 Few
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. 00/01/2002 00/02/2004 2 Many
Properly protected cooking facilities. 00/01/2002 01/01/2003 2 Many
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/01/2002 01/01/2003 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/01/2002 01/01/2003 2 Many
Properly installed electrical wiring and equipment. 00/01/2002 01/01/2003 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/01/2002 01/01/2003 2 Many
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. 00/01/2002 00/02/2004 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. 00/01/2002 01/01/2003 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. 00/01/2002 00/02/2004 2 Many
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. 00/01/2002 01/01/2003 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. 00/01/2002 01/01/2003 2 Few
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 00/01/2002 01/01/2003 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. 00/01/2002 01/01/2003 2 Many
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/01/2002 01/01/2003 2 Few
 

12080 Bellaire Way
Thornton, CO 80241

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