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Broomfield Skilled Nursing And Rehabilitation Ctr

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 210
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: 03/16/2011

Date of last standard health inspection: 03/16/2011
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
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. 02/09/2012 03/00/2001 2 Few
Assist those residents who need help with eating/drinking 02/09/2012 03/00/2001 Few grooming and personal and oral hygiene.
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. 02/09/2012 03/00/2001 2 Few

Inspection, 02/03/2012

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. 02/03/2012 03/00/2001 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. 02/03/2012 03/00/2001 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/03/2012 03/00/2001 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/03/2012 03/00/2001 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. 02/03/2012 03/00/2001 2 Few
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. 02/03/2012 03/00/2001 2 Some
Store, cook, and serve food in a safe and clean way. 02/03/2012 03/00/2001 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. 02/03/2012 03/00/2001 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. 02/03/2012 03/00/2001 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 02/03/2012 03/00/2001 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/03/2012 03/00/2001 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/03/2012 03/00/2001 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. 02/03/2012 03/00/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/03/2012 03/00/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents to self-administer drugs if determined safe. 02/03/2012 03/00/2001 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 02/03/2012 03/00/2001 2 Some
Reasonably accommodate the needs and preferences of each resident. 02/03/2012 03/00/2001 2 Few

Inspection, 02/06/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/06/2009 03/00/2010 Some complete and organized clinical records on each re
Keep clinical record information safe. 02/06/2009 03/00/2010 2 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 02/06/2009 03/00/2010 Some and develop corrective plans of action.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints 02/06/2009 03/00/2010 Few unless needed for medical treatment.
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. 02/06/2009 03/00/2010 3 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/06/2009 03/00/2010 and that incontinent patients receive proper servi unless medically necessary

Inspection, 01/04/2006

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month 01/04/2006 03/00/2008 Few have a licensed pharmacist review each resident's
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. 01/04/2006 03/00/2008 3 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/04/2006 01/05/2007 2 Few

Inspection, 03/00/2005

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. 03/00/2005 02/09/2006 2 Some
Have a program that investigates, controls and keeps infection from spreading. 03/00/2005 02/09/2006 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. 03/00/2005 02/09/2006 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. 03/00/2005 02/09/2006 2 Few
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. 03/00/2005 02/09/2006 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. 03/00/2005 02/09/2006 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. 03/00/2005 02/09/2006 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 03/00/2005 02/09/2006 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 03/00/2005 02/09/2006 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. 03/00/2005 02/09/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 03/00/2005 02/09/2006 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 03/00/2005 02/09/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 03/00/2005 02/09/2006 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. 03/00/2005 02/09/2006 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. 03/00/2005 02/09/2006 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 03/00/2005 02/09/2006 2 Some
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. 03/00/2005 02/09/2006 2 Some
Give notice to the resident before a room or roommate change. 03/00/2005 02/09/2006 2 Few

Inspection, 01/06/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Operate and provide services according to Federal, State, and local laws and professional standards. 01/06/2003 01/09/2004 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/06/2003 01/09/2004 2 Some
Dispose of garbage and refuse properly. 01/06/2003 01/09/2004 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/06/2003 01/09/2004 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/06/2003 01/09/2004 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 01/06/2003 02/02/2004 3 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. 01/06/2003 02/02/2004 3 Few
Protect each resident from all abuse 01/06/2003 02/02/2004 and involuntary separation from others. physical punishment
1) Hire only people with no legal history of abusing 01/06/2003 02/02/2004 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
Offer other nutritional food to each resident who will not eat the food served. 01/06/2003 01/09/2004 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. 01/06/2003 01/09/2004 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. 01/06/2003 01/09/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/06/2003 02/02/2004 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. 01/06/2003 02/02/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/06/2003 02/02/2004 2 Few
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. 01/06/2003 01/09/2004 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/06/2003 01/09/2004 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/06/2003 01/09/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 01/06/2003 01/09/2004 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/06/2003 01/09/2004 2 Few

Inspection, 01/04/2003

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. 01/04/2003 01/01/2004 2 Few
Have a program that investigates 01/04/2003 01/01/2004 Some controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 01/04/2003 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 01/04/2003 01/01/2004 Few with timetables and actions that can be measured.

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 73 181
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 17 hours 54 minutes 1 hour 35 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 17 hours 10 minutes 42 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 58 minutes 53 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 18 hours 39 minutes 2 hours 13 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: 04/13/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 04/13/2011
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, 02/01/2006

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/01/2006 02/00/2007 2 Few
Portable fire extinguishers. 02/01/2006 02/00/2007 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/01/2006 02/00/2007 2 Many
Properly installed electrical wiring and equipment. 02/01/2006 02/00/2007 2 Some
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 02/01/2006 02/00/2007 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/01/2006 02/00/2007 2 Some

Inspection, 01/03/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/03/2004 01/01/2005 2 Few
Back-up procedures in place for a faulty automatic sprinkler system. 01/03/2004 01/01/2005 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly constructed linen or trash chutes. 01/03/2004 01/01/2005 2 Few
An elevator that firefighters can control in the event of a fire. 01/03/2004 01/01/2005 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/03/2004 01/01/2005 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/03/2004 01/01/2005 2 Many
Properly installed electrical wiring and equipment. 01/03/2004 01/01/2005 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. 01/03/2004 01/01/2005 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/03/2004 01/01/2005 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. 01/03/2004 01/01/2005 2 Some
Properly maintained smoke detectors. 01/03/2004 01/01/2005 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 01/03/2004 01/01/2005 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. 01/03/2004 01/01/2005 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. 01/03/2004 01/01/2005 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. 01/03/2004 01/01/2005 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 01/03/2004 01/01/2005 2 Few

Inspection, 02/01/2001

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. 02/01/2001 02/02/2002 2 Some
Properly protected cooking facilities. 02/01/2001 02/02/2002 2 Few
An elevator that firefighters can control in the event of a fire. 02/01/2001 02/02/2002 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/01/2001 02/02/2002 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/01/2001 02/02/2002 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 02/01/2001 02/02/2002 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. 02/01/2001 02/02/2002 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." 02/01/2001 02/02/2002 2 Few
 

12975 Sheridan Boulevard
Broomfield, CO 80020

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