JUNIPER VILLAGE - THE SPEARLY CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Juniper Village - the Spearly 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

JUNIPER VILLAGE - THE SPEARLY CENTER
2205 WEST 29TH AVENUE
DENVER, CO 80211
(303) 458-1112

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

Residents: 125
Certified Beds: 135

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Partnership
Offers Only Resident Counseling
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Wheat Ridge | Lakewood | Arvada

Resident Services

The information below lists services this facility has provided for residents from December through December 2010. During this period, the most common type of service provided was "Ultra-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 Juniper Village - the Spearly 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: 0-5	100.0%
Total Percent:	100.0%

Rating Details For Juniper Village - the Spearly 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	34 Minutes	50 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	41 Minutes	34 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 26 Minutes	1 Hour and 60 Minutes
Total Licensed Nurse Hours	1 Hour and 15 Minutes	1 Hour and 23 Minutes
Total Nurse Hours	3 Hours and 41 Minutes	3 Hours and 23 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 Who Were Assessed and Given Pneumococcal Vaccination	72%	87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	81%	88%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	4%	9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	3%	9%
Percent of Long-Stay Residents Who Were Physically Restrained	3%	4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	5%	15%
Percent of Long-Stay Residents Who Lose Too Much Weight	8%	8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	1%	4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	4%	7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	9%	16%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	24%	48%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	4%	11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	-	3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	19%	79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	60%	81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	17%	23%
Percent of Short-Stay Residents Who Have Delirium	-	3%

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 03/31/2011.

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

Have Licensed, Certified, or Registered Staff to Give Needed Services. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 10/10/2008 Correction Date: 12/15/2008

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/23/2009 Correction Date: 03/17/2010
Get Rid of Garbage Properly. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/31/2011 Correction Date: 04/29/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 12/23/2009 Correction Date: 03/17/2010
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: 12/23/2009 Correction Date: 01/25/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 03/31/2011 Correction Date: 04/29/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 03/31/2011 Correction Date: 04/29/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/31/2011 Correction Date: 04/29/2011

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. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 03/31/2011 Correction Date: 04/29/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/31/2011 Correction Date: 04/29/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 12/23/2009 Correction Date: 04/02/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/31/2011 Correction Date: 04/29/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/31/2011 Correction Date: 04/29/2011

Resident Assessment

Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.

Inspection Date: 10/10/2008
Correction Date: 12/15/2008

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
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: 10/10/2008 Correction Date: 12/15/2008
Try to Resolve Each Resident's Complaints Quickly. Inspection Date: 10/10/2008 Correction Date: 12/15/2008
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: 12/23/2009 Correction Date: 01/25/2010
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. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 12/23/2009 Correction Date: 01/25/2010
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: 03/31/2011 Correction Date: 04/29/2011

Enforcement

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.

Action Taken	Date	Amount
Civil Money Penalty (CMP)	10/10/2008	$2,275
Civil Money Penalty (CMP)	10/10/2008	$4,940
Denial of Payment for New Admission (DPNA)	12/23/2009	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Juniper Village - the Spearly 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