WALSENBURG CARE CENTER

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

WALSENBURG CARE CENTER
135 WEST 7TH STREET
WALSENBURG, CO 81089
(719) 310-9930

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

76%

Number of Residents and Certified Beds

Residents: 32
Certified Beds: 42

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By Non Profit - Corporation
Offers Both Resident and Family Counseling Services
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Trinidad | Pueblo | Fowler

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 "Clinically Complex". 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 Walsenburg 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

Clinically Complex

Pneumonia, hemiplegia with ADL score >=5
Surgical wounds or open lesions with treatment
Burns
Chemotherapy while a resident
Oxygen therapy while a resident
IV medications or transfusions while a resident
Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1

ADL Index Range: 11-14 - No Signs of depression	100.0%
Total Percent:	100.0%

Rating Details For Walsenburg 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	35 Minutes	57 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	48 Minutes	39 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 17 Minutes	2 Hours and 9 Minutes
Total Licensed Nurse Hours	1 Hour and 23 Minutes	1 Hour and 36 Minutes
Total Nurse Hours	3 Hours and 40 Minutes	3 Hours and 45 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	90-100%	88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	90-100%	87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection	8%	9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	37%	15%
Percent of Long-Stay Residents Who Lose Too Much Weight	13%	8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	1%	7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	2%	3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	10%	9%
Percent of Long-Stay Residents Who Were Physically Restrained	9%	4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	51%	48%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	9%	3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	21%	11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	11%	16%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	7%	4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	8%	9%
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 02/11/2010.

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

Keep Accurate and Appropriate Medical Records. Inspection Date: 06/04/2008 Correction Date: 06/06/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 04/08/2009 Correction Date: 05/12/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident. Inspection Date: 02/11/2010 Correction Date: 03/17/2010
1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides. Inspection Date: 02/11/2010 Correction Date: 03/30/2010
Choose a Doctor to Be the Medical Director. Inspection Date: 02/11/2010 Correction Date: 03/31/2010
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 02/11/2010 Correction Date: 03/10/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/04/2008 Correction Date: 06/06/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 06/04/2008 Correction Date: 06/05/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/11/2010 Correction Date: 03/31/2010
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 02/11/2010 Correction Date: 02/12/2010

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: 06/04/2008 Correction Date: 06/12/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
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. Inspection Date: 04/08/2009 Correction Date: 05/12/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 04/08/2009 Correction Date: 05/12/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 04/08/2009 Correction Date: 05/12/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/08/2009 Correction Date: 05/12/2009
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 02/11/2010 Correction Date: 03/30/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 02/11/2010 Correction Date: 04/30/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 02/11/2010 Correction Date: 03/30/2010
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 02/11/2010 Correction Date: 03/30/2010
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 02/11/2010 Correction Date: 04/30/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/11/2010 Correction Date: 03/30/2010

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: 04/08/2009 Correction Date: 05/08/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 04/08/2009 Correction Date: 05/12/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/08/2009 Correction Date: 05/12/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/11/2010 Correction Date: 03/17/2010

Quality Care

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: 06/04/2008 Correction Date: 06/06/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 04/08/2009 Correction Date: 05/12/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/08/2009 Correction Date: 06/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/08/2009 Correction Date: 05/12/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 04/08/2009 Correction Date: 05/08/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/08/2009 Correction Date: 05/12/2009
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: 04/08/2009 Correction Date: 05/08/2009
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 04/08/2009 Correction Date: 05/08/2009

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: 06/04/2008 Correction Date: 06/11/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/04/2008 Correction Date: 06/06/2008

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)	02/11/2010	$715
Civil Money Penalty (CMP)	09/28/2010	$3,250
Civil Money Penalty (CMP)	02/11/2010	$7,280
Denial of Payment for New Admission (DPNA)	02/11/2010	-
Denial of Payment for New Admission (DPNA)	09/28/2010	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Walsenburg 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