GRACE MANOR CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Grace Manor Care 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

GRACE MANOR CARE CENTER
465 FIFTH STREET
BURLINGTON, CO 80807
(719) 346-7512

Nursing Home Ratings

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

Percent of Beds Occupied

84%

Number of Residents and Certified Beds

  • Residents: 31
  • Certified Beds: 37

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Cheyenne Wells | Yuma | Hugo

Resident Services

The information below lists services this facility has provided for residents from October through October 2010. During this period, the most common type of service provided was "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 Grace Manor Care 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

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-5100.0%
Total Percent:100.0%
 

Rating Details For Grace Manor Care 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) Hours41 Minutes57 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours19 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 9 Minutes2 Hours and 16 Minutes
Total Licensed Nurse Hours1 Hour1 Hour and 32 Minutes
Total Nurse Hours3 Hours and 9 Minutes3 Hours and 48 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 Who Were Assessed and Given Pneumococcal Vaccination90-100%87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection1%9%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%11%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder42%48%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%15%
Percent of Long-Stay Residents Who Were Physically Restrained34%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious12%16%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination89%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Have Pressure Sores4%9%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain50%23%

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 06/16/2010.

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

Train All Employees on What to Do in an Emergency.
  • Inspection Date: 06/16/2010
  • Correction Date: 06/30/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/22/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/16/2010
  • Correction Date: 06/22/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/21/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/15/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/22/2008
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: 07/01/2008
  • Correction Date: 07/22/2008
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: 09/03/2009
  • Correction Date: 10/02/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/21/2010
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: 06/16/2010
  • Correction Date: 07/21/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/22/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/22/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/08/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/12/2010
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/12/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/12/2010

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: 07/01/2008
  • Correction Date: 08/01/2008

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/22/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/22/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/03/2009
  • Correction Date: 09/08/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/03/2009
  • Correction Date: 09/29/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/06/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/21/2010

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: 07/01/2008
  • Correction Date: 07/24/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/23/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/21/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/01/2008
  • Correction Date: 07/01/2008
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: 06/16/2010
  • Correction Date: 07/21/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 06/16/2010
  • Correction Date: 07/07/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Grace Manor Care 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

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/08/2011
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Complaint Filed: 05/11/2011
  • Correction Date: 06/08/2011

Mistreatment

Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Complaint Filed: 04/02/2009
  • Correction Date: 05/01/2009
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: 04/02/2009
  • Correction Date: 05/01/2009
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: 05/11/2011
  • Correction Date: 06/08/2011

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.
  • Complaint Filed: 04/02/2009
  • Correction Date: 05/01/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 04/02/2009
  • Correction Date: 06/01/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/02/2009
  • Correction Date: 04/17/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Complaint Filed: 04/02/2009
  • Correction Date: 04/21/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 04/02/2009
  • Correction Date: 05/01/2009

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 Grace Manor Care 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 07/13/2010.

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: 09/30/2009
  • Correction Date: 10/28/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/27/2009
Approved Construction Type or Materials.
  • Inspection Date: 07/13/2010
  • Correction Date: 07/27/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/13/2010
  • Correction Date: 07/21/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 07/13/2010
  • Correction Date: 08/13/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/17/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 09/30/2009
  • Correction Date: 10/30/2009
Source: Medicare Nursing Home Compare; Colorado Department of Public Health and Environment - Retrieved 2011