BELMONT LODGE HEALTH CARE CENTER

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

BELMONT LODGE HEALTH CARE CENTER
1601 CONSTITUTION ROAD
PUEBLO, CO 81001
(719) 562-7200

Nursing Home Ratings

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

Percent of Beds Occupied

65%

Number of Residents and Certified Beds

  • Residents: 78
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Limited Liability Company
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Florence | Fowler | Canon City

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 "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 Belmont Lodge Health 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

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-103.7%
Total Percent:3.7%
 

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: 11-1610.8%
ADL Index Range: 6-1024.5%
ADL Index Range: 0-516.5%
Total Percent:51.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.1%
ADL Index Range: 6-1012.6%
ADL Index Range: 0-510.3%
Total Percent:25.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.3%
ADL Index Range: 6-103.2%
ADL Index Range: 0-52.6%
Total Percent:12.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.1%
ADL Index Range: 0-50.8%
Total Percent:3.9%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.6%
Total Percent:0.6%
 

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
- Signs of depression
1.6%
ADL Index Range: 0-1
- No Signs of depression
1.1%
Total Percent:2.8%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.1%
Total Percent:0.1%
 

Rating Details For Belmont Lodge Health 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) Hours40 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours51 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 1 Minutes2 Hours and 15 Minutes
Total Licensed Nurse Hours1 Hour and 31 Minutes1 Hour and 59 Minutes
Total Nurse Hours3 Hours and 33 Minutes4 Hours and 14 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 Season89%88%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores21%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder18%7%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder38%48%
Percent of Long-Stay Residents Who Are More Depressed or Anxious16%16%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%15%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%9%

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 Season82%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores11%9%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain9%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 04/16/2010.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/17/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/16/2010
  • Correction Date: 07/21/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/19/2010

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 01/17/2008
  • Correction Date: 02/20/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/17/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/19/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/19/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/17/2009
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: 04/16/2010
  • Correction Date: 05/19/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/17/2008
  • Correction Date: 02/20/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/17/2009
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/17/2009
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: 03/19/2009
  • Correction Date: 04/17/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/19/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/19/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/19/2010
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/19/2010

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: 01/17/2008
  • Correction Date: 02/20/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/17/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/17/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 03/19/2009
  • Correction Date: 04/17/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 04/16/2010
  • Correction Date: 05/19/2010

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 TakenDateAmount
Civil Money Penalty (CMP)11/12/2008$2,275
Civil Money Penalty (CMP)04/16/2010$2,925

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Belmont Lodge Health 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

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 01/26/2011
  • Correction Date: 03/08/2011

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: 11/12/2008
  • Correction Date: 12/10/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/12/2008
  • Correction Date: 12/10/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 03/19/2009
  • Correction Date: 04/17/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 01/26/2011
  • Correction Date: 03/08/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/26/2011
  • Correction Date: 03/08/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 01/26/2011
  • Correction Date: 03/08/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 01/26/2011
  • Correction Date: 03/08/2011

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Complaint Filed: 11/12/2008
  • Correction Date: 12/10/2008

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 03/19/2009
  • Correction Date: 04/17/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 03/19/2009
  • Correction Date: 04/17/2009
Give the Resident's Legal Representative the Same Rights As the Resident.
  • Complaint Filed: 03/19/2009
  • Correction Date: 04/17/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Complaint Filed: 04/16/2010
  • Correction Date: 01/01/1900

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 Belmont Lodge Health 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 05/14/2010.

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: 01/30/2008
  • Correction Date: 02/22/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/14/2009
  • Correction Date: 05/01/2009

Building Service Equipment

Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/04/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/30/2008
  • Correction Date: 02/22/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/14/2009
  • Correction Date: 05/01/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/30/2008
  • Correction Date: 02/22/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/14/2009
  • Correction Date: 04/14/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/04/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/30/2008
  • Correction Date: 02/22/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/04/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/30/2008
  • Correction Date: 02/22/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/14/2010
  • Correction Date: 06/04/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 01/30/2008
  • Correction Date: 02/22/2008
Source: Medicare Nursing Home Compare; Colorado Department of Public Health and Environment - Retrieved 2011