CENTURA HEALTH-NAMASTE ALZHEIMER CENTER

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

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 09/16/2010.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 11/10/2009 Correction Date: 12/14/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/01/2008 Correction Date: 10/30/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/10/2009 Correction Date: 12/14/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/10/2009 Correction Date: 12/14/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/16/2010 Correction Date: 10/18/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/16/2010 Correction Date: 10/18/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 09/16/2010 Correction Date: 10/18/2010

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: 10/01/2008 Correction Date: 10/30/2008

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 10/01/2008 Correction Date: 10/30/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/01/2008 Correction Date: 10/30/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 11/10/2009 Correction Date: 12/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/10/2009 Correction Date: 12/14/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 09/16/2010 Correction Date: 10/18/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/01/2008 Correction Date: 10/30/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 11/10/2009 Correction Date: 12/14/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 11/10/2009 Correction Date: 12/14/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 11/10/2009 Correction Date: 12/14/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 11/10/2009 Correction Date: 12/14/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 09/16/2010 Correction Date: 10/18/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/16/2010 Correction Date: 10/18/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 09/16/2010 Correction Date: 10/18/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 09/16/2010 Correction Date: 10/18/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 09/16/2010 Correction Date: 10/18/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 11/10/2009 Correction Date: 12/14/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/16/2010 Correction Date: 10/18/2010

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. Inspection Date: 10/01/2008 Correction Date: 10/30/2008

The table below lists incident reports by the nursing staff or administration for Centura Health-Namaste Alzheimer Center, as well as complaints by residents or their family in the previous three years.

Administration

Give or Get Lab Tests to Meet the Needs of Residents. Complaint Filed: 05/21/2008 Correction Date: 05/29/2008

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. Complaint Filed: 05/25/2011 Correction Date: 06/29/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 05/25/2011 Correction Date: 06/29/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 05/21/2008 Correction Date: 05/29/2008

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 Centura Health-Namaste Alzheimer 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 10/06/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/04/2009 Correction Date: 01/05/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/06/2010 Correction Date: 10/25/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 12/04/2009 Correction Date: 01/05/2010
Properly Constructed Linen or Trash Chutes. Inspection Date: 12/04/2009 Correction Date: 01/05/2010
Properly Protected Cooking Facilities. Inspection Date: 10/06/2010 Correction Date: 10/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 10/16/2008 Correction Date: 11/25/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 10/06/2010 Correction Date: 10/06/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 12/04/2009 Correction Date: 01/05/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 10/16/2008 Correction Date: 11/25/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 10/16/2008 Correction Date: 10/17/2008
Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 12/04/2009 Correction Date: 01/05/2010
Restrictions on the Use of Highly Flammable Materials. Inspection Date: 12/04/2009 Correction Date: 01/05/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/16/2008 Correction Date: 10/29/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/06/2010 Correction Date: 10/06/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 10/16/2008 Correction Date: 11/25/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 12/04/2009 Correction Date: 01/05/2010

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 12/04/2009 Correction Date: 01/05/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 12/04/2009 Correction Date: 01/05/2010

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts. Inspection Date: 10/16/2008 Correction Date: 11/25/2008