HOSPICE OF SAINT JOHN - LONG TERM CARE

The information listed below provides an in-depth look into the type and quality of care offered at Hospice of Saint John - Long Term Care. 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

HOSPICE OF SAINT JOHN - LONG TERM CARE
1320 EVERETT COURT
LAKEWOOD, CO 80215
(303) 232-7900

Nursing Home Ratings

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

Percent of Beds Occupied

80%

Number of Residents and Certified Beds

  • Residents: 35
  • Certified Beds: 44

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • This Facility Does Not Offer Any Resident or Family Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Wheat Ridge | Denver | Arvada

Rating Details For Hospice of Saint John - Long Term Care

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) Hours4 Hours and 58 Minutes1 Hour and 10 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 31 Minutes48 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 51 Minutes2 Hours and 28 Minutes
Total Licensed Nurse Hours6 Hours and 29 Minutes1 Hour and 58 Minutes
Total Nurse Hours10 Hours and 20 Minutes4 Hours and 26 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 Season-88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination-87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain11%4%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair90-100%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious7%16%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder24%7%

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 05/26/2011.

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 InspectorsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/28/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/16/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/08/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/13/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/16/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/08/2011

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: 02/11/2009
  • Correction Date: 04/13/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/08/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/13/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 02/11/2009
  • Correction Date: 04/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/16/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/08/2011
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/08/2011
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/08/2011

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: 02/11/2009
  • Correction Date: 04/13/2009
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: 02/11/2009
  • Correction Date: 04/13/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/16/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/08/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 03/10/2010
  • Correction Date: 04/16/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/08/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Hospice of Saint John - Long Term Care, 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

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/24/2009
  • Correction Date: 12/29/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/24/2009
  • Correction Date: 12/29/2009

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.
  • Complaint Filed: 11/24/2009
  • Correction Date: 12/24/2009

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 Hospice of Saint John - Long Term Care 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 06/13/2011.

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 InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Have an Adequate Water Supply for the Sprinkler System.
  • Inspection Date: 02/24/2009
  • Correction Date: 04/16/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 03/23/2010
  • Correction Date: 04/06/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/23/2010
  • Correction Date: 04/06/2010
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/13/2011
  • Correction Date: 07/23/2011
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/13/2011
  • Correction Date: 07/23/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/13/2011
  • Correction Date: 07/23/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/23/2010
  • Correction Date: 04/12/2010
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/13/2011
  • Correction Date: 07/23/2011
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/13/2011
  • Correction Date: 07/23/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 06/13/2011
  • Correction Date: 07/23/2011

Furnishings and Decorations

Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 02/24/2009
  • Correction Date: 04/05/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 02/24/2009
  • Correction Date: 03/19/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/23/2010
  • Correction Date: 04/07/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 06/13/2011
  • Correction Date: 07/23/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 02/24/2009
  • Correction Date: 04/05/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 03/23/2010
  • Correction Date: 03/23/2010
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/13/2011
  • Correction Date: 07/23/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 02/24/2009
  • Correction Date: 02/24/2009
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/13/2011
  • Correction Date: 07/23/2011
Source: Medicare Nursing Home Compare; Colorado Department of Public Health and Environment - Retrieved 2011