THE SUITES AT HOLLY CREEK CARE CENTER

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

THE SUITES AT HOLLY CREEK CARE CENTER
5590 E PEAKVIEW AVENUE
CENTENNIAL, CO 80121
(720) 266-5888

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

Residents: 23
Certified Beds: 24

This Facility Accepts

Medicare

Operational Details

Operated By Non Profit - Other
Offers Both Resident and Family Counseling Services
Part of a Continuing Care Retirement Community (CCRC)
This Facility is Part of a Chain or Franchise

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Nearby Cities:

Littleton | Greenwood Village | Highlands Ranch

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 The Suites at Holly Creek 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

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: 11-16	15.6%
ADL Index Range: 6-10	21.4%
ADL Index Range: 0-5	21.8%
Total Percent:	58.8%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	9.7%
ADL Index Range: 6-10	4.9%
ADL Index Range: 0-5	13.5%
Total Percent:	28.1%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 11-16	2.3%
ADL Index Range: 6-10	0.2%
ADL Index Range: 0-5	5.4%
Total Percent:	7.8%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 11-16	0.8%
ADL Index Range: 6-10	2.3%
Total Percent:	3.1%

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: 2-5 - No Signs of depression	0.3%
ADL Index Range: 0-1 - Signs of depression	1.6%
Total Percent:	1.9%

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: 2-5 - Less restorative nursing	0.3%
Total Percent:	0.3%

Rating Details For The Suites at Holly Creek 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	1 Hour and 23 Minutes	1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	10 Minutes	40 Minutes
Certified Nursing Assistant (CNA) Hours	1 Hour and 3 Minutes	2 Hours and 23 Minutes
Total Licensed Nurse Hours	1 Hour and 34 Minutes	1 Hour and 49 Minutes
Total Nurse Hours	2 Hours and 37 Minutes	4 Hours and 12 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 Who Were Assessed and Given Pneumococcal Vaccination	66%	87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	76%	88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious	19%	16%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	9%	9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	-	3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	7%	4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	61%	48%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	17%	9%
Percent of Long-Stay Residents Who Were Physically Restrained	-	4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	11%	7%
Percent of Long-Stay Residents Who Lose Too Much Weight	16%	8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	56%	79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	73%	81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores	12%	9%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	47%	23%
Percent of Short-Stay Residents Who Have Delirium	2%	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 02/03/2011.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Give or Get Lab Tests by a Certified Laboratory. Inspection Date: 10/30/2009 Correction Date: 12/03/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 10/30/2009 Correction Date: 12/01/2009

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 12/11/2008 Correction Date: 01/15/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 10/30/2009 Correction Date: 12/01/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/03/2011 Correction Date: 03/07/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 02/03/2011 Correction Date: 03/07/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/11/2008 Correction Date: 01/15/2009
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 10/30/2009 Correction Date: 11/27/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/30/2009 Correction Date: 11/27/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 10/30/2009 Correction Date: 11/27/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 02/03/2011 Correction Date: 03/07/2011
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/03/2011 Correction Date: 03/07/2011

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 10/30/2009 Correction Date: 11/27/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/30/2009 Correction Date: 11/27/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/03/2011 Correction Date: 03/07/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/03/2011 Correction Date: 03/07/2011

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: 02/03/2011
Correction Date: 03/07/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 10/30/2009 Correction Date: 11/27/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 10/30/2009 Correction Date: 12/01/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 10/30/2009 Correction Date: 11/27/2009
Tell the Resident Completely About His or Her Health Status. Inspection Date: 02/03/2011 Correction Date: 03/07/2011
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 02/03/2011 Correction Date: 03/07/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for The Suites at Holly Creek 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