MOUNT ST FRANCIS NURSING CENTER

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 Mount St Francis Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

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 08/09/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/24/2008 Correction Date: 08/29/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 08/09/2010 Correction Date: 09/01/2010

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. Inspection Date: 07/24/2008 Correction Date: 08/29/2008

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Provide Special Eating Equipment and Utensils for Each Resident Who Needs Them. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/09/2010 Correction Date: 09/01/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
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: 07/24/2008 Correction Date: 08/29/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 06/18/2009 Correction Date: 07/20/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 06/18/2009 Correction Date: 07/20/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
Give or Get Dental Care for Each Resident. Inspection Date: 08/09/2010 Correction Date: 09/01/2010

Resident Assessment

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: 07/24/2008 Correction Date: 08/29/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
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: 08/09/2010 Correction Date: 09/01/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
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: 08/09/2010 Correction Date: 09/01/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/24/2008 Correction Date: 08/29/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 06/18/2009 Correction Date: 07/20/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 08/09/2010 Correction Date: 09/01/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/09/2010 Correction Date: 09/01/2010

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 Mount St Francis Nursing 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 09/02/2010.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 08/13/2008 Correction Date: 08/29/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/09/2009 Correction Date: 07/24/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/02/2010 Correction Date: 09/21/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 08/13/2008 Correction Date: 08/29/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 07/09/2009 Correction Date: 07/13/2009

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials. Inspection Date: 07/09/2009 Correction Date: 07/24/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/13/2008 Correction Date: 08/29/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/09/2009 Correction Date: 07/24/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/02/2010 Correction Date: 09/21/2010

Interior Finish

Fire-Resistant Interior Walls. Inspection Date: 09/02/2010 Correction Date: 09/15/2010

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 09/02/2010 Correction Date: 09/02/2010