CHERRELYN HEALTHCARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Cherrelyn Healthcare Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CHERRELYN HEALTHCARE CENTER
5555 SOUTH ELATI STREET
LITTLETON, CO 80120
(303) 798-8686

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

87%

Number of Residents and Certified Beds

  • Residents: 166
  • Certified Beds: 190

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Englewood | Denver | Centennial

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Cherrelyn Healthcare Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-163.6%
ADL Index Range: 6-1011.6%
ADL Index Range: 0-50.9%
Total Percent:16.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1620.5%
ADL Index Range: 6-1032.3%
ADL Index Range: 0-519.2%
Total Percent:72.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.2%
ADL Index Range: 6-109.5%
ADL Index Range: 0-51.2%
Total Percent:11.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.2%
ADL Index Range: 6-100.3%
Total Percent:0.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.08%
ADL Index Range: 2-5
- No Signs of depression
0.3%
Total Percent:0.4%
 

Rating Details For Cherrelyn Healthcare Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours43 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 4 Minutes41 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 16 Minutes2 Hours and 24 Minutes
Total Licensed Nurse Hours1 Hour and 48 Minutes1 Hour and 49 Minutes
Total Nurse Hours4 Hours and 3 Minutes4 Hours and 14 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Colorado are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityColorado Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination80%87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious14%16%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder12%7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder72%48%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%15%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained6%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season89%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain8%23%
Percent of Short-Stay Residents Who Have Pressure Sores9%9%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/06/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/11/2008
Keep Medical Records for the Length of Time That is Required.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/11/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/11/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/11/2008
Have Enough Outside Airflow.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/11/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/11/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/11/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/11/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/11/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/11/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/11/2008
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
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.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/11/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 05/08/2008
  • Correction Date: 06/11/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 04/08/2009
  • Correction Date: 05/12/2009
Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/11/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 05/06/2010
  • Correction Date: 06/11/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Cherrelyn Healthcare Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 09/30/2009
  • Correction Date: 01/01/1900
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/11/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/04/2010
  • Correction Date: 02/09/2010

Mistreatment

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.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/11/2010

Pharmacy Service

At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Complaint Filed: 01/04/2010
  • Correction Date: 02/09/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/11/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/25/2008
  • Correction Date: 08/28/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 04/08/2009
  • Correction Date: 05/12/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/30/2009
  • Correction Date: 12/03/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 01/04/2010
  • Correction Date: 02/09/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 01/04/2010
  • Correction Date: 02/09/2010
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.
  • Complaint Filed: 01/04/2010
  • Correction Date: 02/09/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/11/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/11/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/11/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/06/2010
  • Correction Date: 06/11/2010

Resident Rights

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.
  • Complaint Filed: 09/30/2009
  • Correction Date: 01/01/1900

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Cherrelyn Healthcare Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/02/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/12/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008
Approved Construction Type or Materials.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008
Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/12/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/12/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/12/2010

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009
Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/12/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/12/2010

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/12/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/12/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/30/2008
  • Correction Date: 07/09/2008
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 05/07/2009
  • Correction Date: 06/16/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/02/2010
  • Correction Date: 08/01/2010
Source: Medicare Nursing Home Compare; Colorado Department of Public Health and Environment - Retrieved 2011