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 Services

Resident Conditions

Percent 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: 11-16	3.6%
ADL Index Range: 6-10	11.6%
ADL Index Range: 0-5	0.9%
Total Percent:	16.1%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	20.5%
ADL Index Range: 6-10	32.3%
ADL Index Range: 0-5	19.2%
Total Percent:	72.0%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	0.2%
ADL Index Range: 6-10	9.5%
ADL Index Range: 0-5	1.2%
Total Percent:	11.0%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	0.2%
ADL Index Range: 6-10	0.3%
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 Day	Reported	Expected
Registered Nurse (RN) Hours	43 Minutes	1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	1 Hour and 4 Minutes	41 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 16 Minutes	2 Hours and 24 Minutes
Total Licensed Nurse Hours	1 Hour and 48 Minutes	1 Hour and 49 Minutes
Total Nurse Hours	4 Hours and 3 Minutes	4 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 Facility

Colorado Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	90-100%	88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	80%	87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious	14%	16%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	12%	7%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	72%	48%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	8%	9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	3%	4%
Percent of Long-Stay Residents Who Lose Too Much Weight	9%	8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	8%	15%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	7%	9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	2%	3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	6%	11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Long-Stay Residents Who Were Physically Restrained	6%	4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90%	79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	89%	81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium	1%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	8%	23%
Percent of Short-Stay Residents Who Have Pressure Sores	9%	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 Inspectors

Degree of Harm

Residents 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 Complaints

Degree of Harm

Residents Affected