VISTA GRANDE INN

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 Vista Grande Inn. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Clinically Complex

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 04/13/2011.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 03/11/2010 Correction Date: 04/09/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 04/13/2011 Correction Date: 05/17/2011

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. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
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. Inspection Date: 04/13/2011 Correction Date: 05/17/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 04/13/2011 Correction Date: 05/17/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/13/2011 Correction Date: 05/17/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/13/2011 Correction Date: 05/17/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/13/2011 Correction Date: 05/17/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/13/2011 Correction Date: 05/17/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/13/2011 Correction Date: 05/17/2011
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: 04/13/2011 Correction Date: 05/17/2011

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
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: 03/11/2010 Correction Date: 04/09/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner. Inspection Date: 04/13/2011 Correction Date: 05/17/2011
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 04/13/2011 Correction Date: 05/17/2011
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: 04/13/2011 Correction Date: 05/17/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 04/13/2011 Correction Date: 05/17/2011
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: 04/13/2011 Correction Date: 05/17/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
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. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 01/29/2009 Correction Date: 02/25/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
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. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 03/11/2010 Correction Date: 04/09/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 04/13/2011 Correction Date: 05/17/2011
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. Inspection Date: 04/13/2011 Correction Date: 05/17/2011

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Complaint Filed: 08/28/2009 Correction Date: 09/24/2009

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: 11/12/2009 Correction Date: 12/16/2009
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: 08/18/2010 Correction Date: 09/13/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 08/28/2009 Correction Date: 09/24/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 11/12/2009 Correction Date: 12/16/2009

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: 11/12/2009 Correction Date: 12/16/2009

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 Vista Grande Inn 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 05/11/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/01/2010 Correction Date: 04/02/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/11/2011 Correction Date: 06/06/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/25/2009 Correction Date: 03/25/2009

Building Service Equipment

An Externally Vented Heating System. Inspection Date: 02/25/2009 Correction Date: 03/01/2009
Properly Protected Cooking Facilities. Inspection Date: 04/01/2010 Correction Date: 04/11/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/01/2010 Correction Date: 04/30/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/25/2009 Correction Date: 03/25/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/01/2010 Correction Date: 04/09/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/25/2009 Correction Date: 03/12/2009
Exits That Are Accessible at All Times. Inspection Date: 04/01/2010 Correction Date: 05/13/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 04/01/2010 Correction Date: 04/23/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/25/2009 Correction Date: 03/09/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 05/11/2011 Correction Date: 06/06/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 02/25/2009 Correction Date: 03/25/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 02/25/2009 Correction Date: 03/24/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/25/2009 Correction Date: 03/09/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/25/2009 Correction Date: 03/09/2009