SIERRA REHABILITATION AND CARE COMMUNITY - LAKEWOOD, CO

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Address

1432 DEPEW STREET
LAKEWOOD, CO, 80214

Phone (make sure to verify first before calling): (303) 238-1375

Number of Certified Beds: 83
Total Number of Residents: 72
Percent of Occupied Beds: 87%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Limited liability company
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
Type: Skilled Nursing Facilities

Overall Star Rating: 5 Stars
Health Inspections Star Rating: 5 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 5.96
Certified Nurse Aides - Full Time: 27.64
Certified Nurse Aides - Part Time: 11.11
Dietitians - Under Contract: 0.17
Food Service Personnel - Full Time: 5.20
Food Service Personnel - Part Time: 4.87
Housekeeping Personnel - Full Time: 6.96
Licensed Practical/ Vocational Nurses - Full Time: 6.89
Licensed Practical/ Vocational Nurses - Part Time: 1.90
Medical Directors - Under Contract: 0.23
Mental Health Services Personnel - Under Contract: 0.14
Nurses With Administrative Duties - Full Time: 2.29
Persons Not Included In Any Other Categories - Full Time: 1.16
Physical Therapists - Under Contract: 0.23
Registered Nurses - Full Time: 5.93
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 2.76
Activities Professionals - Full Time: 3.43
Dentists - Under Contract: 0.06
Occupational Therapists - Under Contract: 0.06
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.04
Speech Pathologists - Under Contract: 0.03
Other Physicians - Under Contract: 0.06
Persons Not Included In Any Other Categories - Part Time: 0.64
Registered Nurses - Part Time: 0.46
Occupational Therapy Assistants - Under Contract: 0.21

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Therapeutic Recreation Specialist Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	11.5%
State:	15.7%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	10.1%
Colorado:	12.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	10.0%
Colorado:	7.7%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	6.7%
Colorado:	46.6%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	6.0%
Colorado:	5.4%

Percent of long-stay residents who have depressive symptoms

Here:	11.4%
Colorado:	7.1%

Percent of long-stay residents who were physically restrained

This Nursing Home:	2.9%
State:	2.1%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	2.9%
Colorado:	4.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	95.7%
State:	91.9%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
State:	91.4%

Percent of short-stay residents who self-report moderate to severe pain

Here:	28.6%
State:	24.1%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
State:	78.2%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	25.0%
Colorado:	20.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.670
State:	0.914

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.710
Colorado:	0.722

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.380
Colorado:	1.632

Complaint Deficiency

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Many (Minimal harm or potential for actual harm)

Approved construction type or materials: Few (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Few (Minimal harm or potential for actual harm)

Proper fire barriers, ventilation and signs for the transport of oxygen: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Properly installed hallway dispensers for alcohol-based hand rub: Few (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Some (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

Help and prepare each resident for a safe and easy discharge and transfer from the nursing home: Few (Minimal harm or potential for actual harm)

Provide medically-related social services to help each resident achieve the highest possible quality of life: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Fire-resistant room wall surfaces: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Few (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Many (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Few (Minimal harm or potential for actual harm)

Back-up procedures in place for a faulty automatic sprinkler system: Few (Minimal harm or potential for actual harm)

An approved back-up procedure for a faulty fire alarm system: Few (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

AMC CANCER RESEARCH CTR (0.78 miles)
CAMBRIDGE CARE CENTER (0.33 miles)
CEDARS HEALTHCARE CENTER (0.40 miles)
WESTLAKE CARE COMMUNITY (0.29 miles)
LAKEWOOD DIALYSIS (DVA) (0.84 miles)
MILE HIGH PD (DVA) (0.84 miles)
PERSONAL ASSISTANCE SERVICES OF COLORADO (0.34 miles)

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