CEDARWOOD HEALTH CARE CENTER

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

CEDARWOOD HEALTH CARE CENTER
924 WEST KIOWA
COLORADO SPRINGS, CO 80905
(719) 636-5221

Nursing Home Ratings

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

Percent of Beds Occupied

77%

Number of Residents and Certified Beds

  • Residents: 64
  • Certified Beds: 83

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Cripple Creek | Castle Rock | Simla

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 Cedarwood 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

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five 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: 2-104.3%
Total Percent:4.3%
 

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: 6-1020.1%
ADL Index Range: 0-546.6%
Total Percent:66.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-106.8%
ADL Index Range: 0-520.4%
Total Percent:27.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-50.3%
Total Percent:0.3%
 

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: 0-1
- Less restorative nursing
1.5%
Total Percent:1.5%
 

Rating Details For Cedarwood 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) Hours39 Minutes1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours56 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 60 Minutes2 Hours and 14 Minutes
Total Licensed Nurse Hours1 Hour and 36 Minutes1 Hour and 40 Minutes
Total Nurse Hours3 Hours and 35 Minutes3 Hours and 53 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 Given Influenza Vaccination During the Flu Season77%88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination72%87%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%48%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased20%15%
Percent of Long-Stay Residents Who Are More Depressed or Anxious40%16%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%7%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores14%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination47%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season70%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain7%23%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Have Pressure Sores5%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 02/18/2010.

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

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 02/21/2008
  • Correction Date: 05/14/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/21/2008
  • Correction Date: 05/14/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008
Make Sure That Residents Are Well Nourished.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/20/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/20/2009

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: 02/21/2008
  • Correction Date: 03/26/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/20/2009
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: 02/18/2010
  • Correction Date: 03/19/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 02/21/2008
  • Correction Date: 05/14/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 02/21/2008
  • Correction Date: 05/14/2008
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/25/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/23/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/20/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 02/21/2008
  • Correction Date: 05/14/2008
Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/20/2009
Check and Update (If Needed) Each Resident's Assessment Every 3 Months.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/20/2009
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: 01/22/2009
  • Correction Date: 02/20/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 02/21/2008
  • Correction Date: 03/26/2008
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/20/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 01/22/2009
  • Correction Date: 02/20/2009
Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 02/18/2010
  • Correction Date: 03/19/2010

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)04/21/2009$2,971

Deficiencies from Complaints and Incidents

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/21/2009
  • Correction Date: 05/20/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/21/2009
  • Correction Date: 05/20/2009
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.
  • Complaint Filed: 04/21/2009
  • Correction Date: 05/20/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 02/09/2011
  • Correction Date: 03/22/2011

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident.
  • Complaint Filed: 02/09/2011
  • Correction Date: 03/22/2011
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.
  • Complaint Filed: 02/09/2011
  • Correction Date: 03/22/2011

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 Cedarwood 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 03/18/2010.

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: 03/21/2008
  • Correction Date: 04/18/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/14/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Approved Construction Type or Materials.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009
Approved Construction Type or Materials.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/05/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Properly Protected Cooking Facilities.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009
A Properly Installed and Maintained Dumbwaiter or Escalator.
  • Inspection Date: 02/12/2009
  • Correction Date: 04/20/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/16/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/19/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/09/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/14/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/18/2010
  • Correction Date: 03/23/2010

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/30/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/21/2008
  • Correction Date: 04/18/2008
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/08/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/18/2010
  • Correction Date: 04/09/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 02/12/2009
  • Correction Date: 03/13/2009
Source: Medicare Nursing Home Compare; Colorado Department of Public Health and Environment - Retrieved 2011