LAUREL MANOR CARE CENTER
Address
920 SOUTH CHELTON ROAD
COLORADO SPRINGS, CO 80910
(719) 473-7780
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 76
- Certified Beds: 98
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Church Related
- Offers Only Resident Counseling
- Part of a Continuing Care Retirement Community (CCRC)
- This Facility is Part of a Chain or Franchise
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 Laurel Manor Care 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
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
ADL Index Range: 0-5 | 7.6% |
Total Percent: | 7.6% |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 7.6% |
ADL Index Range: 6-10 | 6.2% |
ADL Index Range: 0-5 | 42.7% |
Total Percent: | 56.4% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 16.1% |
ADL Index Range: 0-5 | 6.2% |
Total Percent: | 22.3% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 2.4% |
Total Percent: | 2.4% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5 - No Signs of depression | 7.1% |
Total Percent: | 7.1% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
ADL Index Range: 6-10 - Less restorative nursing | 4.3% |
Total Percent: | 4.3% |
Rating Details For Laurel 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 Day | Reported | Expected |
Registered Nurse (RN) Hours | 51 Minutes | 56 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 56 Minutes | 38 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 22 Minutes | 2 Hours and 21 Minutes |
Total Licensed Nurse Hours | 1 Hour and 47 Minutes | 1 Hour and 34 Minutes |
Total Nurse Hours | 4 Hours and 9 Minutes | 3 Hours and 55 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% | 88% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 79% | 87% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 4% | 9% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 15% | 11% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 18% | 15% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 14% | 8% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | - | 4% |
Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 6% | 9% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 60% | 48% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 3% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 12% | 16% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 5% | 7% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 64% | 79% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 80% | 81% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | - | 3% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | - | 23% |
Percent of Short-Stay Residents Who Have Pressure Sores | 21% | 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 05/05/2010.
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
Set Up or Keep a Group of People to Review and Ensure Quality.
|
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Provide Needed Housekeeping and Maintenance.
| ||
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| ||
Have a Program to Keep Infection from Spreading.
|
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.
| ||
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.
| ||
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
|
Nutrition and Dietary
Make Sure That Residents Are Well Nourished.
| ||
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
| ||
Provide a Tasty and Well-Balanced Diet That Meets the Nutritional Needs of Each Resident.
| ||
Hire Enough Skilled Workers to Carry out Dietary Service.
| ||
Make Sure That Residents Are Well Nourished.
| ||
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
| ||
Provide Food in a Way That Meets a Resident's Needs.
| ||
Store, Cook, and Give out Food in a Safe and Clean Way.
|
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.
| ||
Make Sure That Residents Are Safe from Serious Medication Errors.
| ||
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.
|
Quality Care
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| ||
Provide Activities to Meet the Needs of Each Resident.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Make Sure That Each Resident's Nutritional Needs Were Met.
| ||
Provide Activities to Meet the Needs of Each Resident.
| ||
Give Professional Services That Meet a Professional Standard of Quality.
| ||
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
| ||
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
| ||
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| ||
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
|
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| ||
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| ||
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
| ||
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
| ||
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
| ||
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
|
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.
| ||
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| ||
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
| ||
Have a Private Telephone Available for Use.
| ||
Let Residents Give Themselves Their Drugs if They Are Able.
| ||
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.
| ||
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
| ||
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| ||
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
|
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Laurel 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 Complaints | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
|
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 Laurel 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 05/26/2010.
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 |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| ||
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
|
Building Construction
Approved Construction Type or Materials.
| ||
Approved Construction Type or Materials.
|
Building Service Equipment
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
| ||
Properly Protected Cooking Facilities.
|
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| ||
Corridor and Hallway Doors That Block Smoke.
|
Electrical
Properly Installed Electrical Wiring and Equipment.
| ||
Properly Installed Electrical Wiring and Equipment.
| ||
Weekly Inspections and Monthly Testing of Generators.
| ||
Properly Installed Electrical Wiring and Equipment.
|
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
|
Exits and Egress
Exits That Are Accessible at All Times.
| ||
Exits That Are Accessible at All Times.
|
Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
|
Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
|
Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
|