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Weisbrod Memorial County Hospital & Nursing Home

Details

Type of Ownership Government - County
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 34
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: 04/07/2011

Date of last standard health inspection: 04/07/2011
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, 01/03/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 01/03/2007 01/03/2007 2 Many
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 01/03/2007 01/03/2007 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/03/2007 02/08/2008 2 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/03/2007 02/04/2008 2 Some
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. 01/03/2007 00/09/2008 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2007 01/05/2008 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/03/2007 00/09/2008 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/03/2007 01/06/2007 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/03/2007 02/08/2008 2 Few
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 01/03/2007 00/09/2008 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. 01/03/2007 00/01/2008 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. 01/03/2007 00/01/2008 2 Few
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. 01/03/2007 02/04/2008 2 Few
Ensure that residents are safe from serious medication errors. 01/03/2007 00/02/2008 3 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/03/2007 00/02/2008 3 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/03/2007 00/02/2008 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. 01/03/2007 02/04/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2007 02/04/2008 2 Few
Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. 01/03/2007 02/04/2008 3 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/03/2007 01/03/2007 2 Many
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. 01/03/2007 00/01/2008 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/03/2007 02/08/2008 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/03/2007 02/08/2008 2 Some
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. 01/03/2007 01/05/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 01/03/2007 01/05/2008 2 Few

Inspection, 00/07/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility 00/07/2004 01/04/2007 2 Many
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 00/07/2004 01/04/2007 2 Many
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 00/07/2004 01/04/2007 2 Many
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. 00/07/2004 01/04/2007 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. 00/07/2004 01/06/2006 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. 00/07/2004 01/04/2007 3 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. 00/07/2004 01/04/2007 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. 00/07/2004 01/04/2007 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. 00/07/2004 01/04/2007 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. 00/07/2004 01/04/2007 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 00/07/2004 01/04/2007 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/07/2004 01/04/2007 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/07/2004 01/06/2006 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. 00/07/2004 01/04/2007 2 Few
Ensure residents maintain acceptable nutritional status. 00/07/2004 01/04/2007 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/07/2004 00/07/2007 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/07/2004 01/04/2007 2 Many
Use a registered nurse at least 8 hours a day, 7 days a week. 00/07/2004 01/04/2007 2 Many
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 00/07/2004 01/06/2006 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. 00/07/2004 01/06/2006 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 00/07/2004 01/04/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 00/07/2004 01/04/2007 2 Few

Inspection, 02/00/2001

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. 02/00/2001 02/00/2002 2 Few
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 02/00/2001 01/00/2002 2 Many
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. 02/00/2001 02/00/2002 2 Few
Have enough backup water supply for essential areas of the nursing home. 02/00/2001 01/02/2002 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. 02/00/2001 03/00/2001 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. 02/00/2001 01/02/2002 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. 02/00/2001 02/00/2002 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. 02/00/2001 02/00/2002 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/00/2001 02/00/2002 2 Few
Ensure residents maintain acceptable nutritional status. 02/00/2001 01/02/2002 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. 02/00/2001 00/09/2002 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/00/2001 01/02/2002 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. 02/00/2001 02/02/2001 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 23
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 17 hours 54 minutes 1 hour 15 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 17 hours 10 minutes 34 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 16 hours 58 minutes 40 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 18 hours 39 minutes 2 hours 31 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: 05/03/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 05/03/2011
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, 01/00/2002

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/00/2002 00/01/2003 2 Few
 

1208 Luther Street
Eads, CO 81036

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