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Elms Haven Care And Rehabilitation Center
12080 BELLAIRE WAY
Thornton, CO 80241
(303) 450-2700
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 242 |
| Number of Residents: | 210 |
| Percent of Occupied Beds: | 87% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080414 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20080514 |
| 20080604 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20080627 |
| 20080727 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20080827 |
| 20080727 | Health | Nutrition and Dietary Deficiencies | Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Minimal harm or potential for actual harm | 20080827 |
| 20080727 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Widespread | Minimal harm or potential for actual harm | 20080827 |
| 20080727 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20080827 |
| 20080727 | Health | Administration Deficiencies | Keep complete, dated lab records in the resident's file. | Isolated | Minimal harm or potential for actual harm | 20080827 |
| 20081007 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20081104 |
| 20081007 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Pattern | Minimal harm or potential for actual harm | 20081104 |
| 20081007 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20081104 |
| 20081007 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20081104 |
| 20091020 | Health | Mistreatment Deficiencies | 1) Hire only people who have 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. | Isolated | Actual harm | 20091119 |
| 20091020 | Health | Environmental Deficiencies | Keep all essential equipment working safely. | Pattern | Minimal harm or potential for actual harm | 20091119 |
| 20091020 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20091109 |
| 20091020 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20091119 |
| 20091020 | Health | Quality Care Deficiencies | Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Pattern | Minimal harm or potential for actual harm | 20091119 |
| 20100830 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20100927 |
| 20100830 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20100927 |
| 20100830 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20100927 |
| 20100830 | Health | Resident Rights Deficiencies | Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | Isolated | Minimal harm or potential for actual harm | 20100927 |
| 20100830 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20100927 |
| 20100830 | Health | Quality Care Deficiencies | Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | Isolated | Minimal harm or potential for actual harm | 20100927 |
| 20100830 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100927 |
| 20101015 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20101112 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 79 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 73 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 11 | |
| Percent of long-stay residents who have moderate to severe pain: | 3 | |
| Percent of high-risk long-stay residents who have pressure sores: | 10 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 4 | |
| Percent of long-stay residents who are more depressed or anxious: | 17 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 65 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 0 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 6 | |
| Percent of long-stay residents who had a urinary tract infection: | 6 | |
| Percent of long-stay residents who lose too much weight: | 10 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 50 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 26 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 31 | |
| Percent of short-stay residents who have pressure sores: | 8 | |
| # of Residents: | 210 |
| # RN Hours per Resident: | 0.47 |
| # LPN Hours per Resident: | 1.03 |
| # CNA Hours per Resident: | 1.91 |
| Total Staff Hours per Resident: | 1.5 |
