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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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 ServicesResident ConditionsPercent 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: 11-1615.6%
ADL Index Range: 6-1021.4%
ADL Index Range: 0-521.8%
Total Percent:58.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.7%
ADL Index Range: 6-104.9%
ADL Index Range: 0-513.5%
Total Percent:28.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.3%
ADL Index Range: 6-100.2%
ADL Index Range: 0-55.4%
Total Percent:7.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.8%
ADL Index Range: 6-102.3%
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 DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 23 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours10 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 3 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 34 Minutes1 Hour and 49 Minutes
Total Nurse Hours2 Hours and 37 Minutes4 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 FacilityColorado Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination66%87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season76%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious19%16%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%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 Pain7%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder61%48%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores17%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 Bladder11%7%
Percent of Long-Stay Residents Who Lose Too Much Weight16%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination56%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season73%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores12%9%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain47%23%
Percent of Short-Stay Residents Who Have Delirium2%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 InspectorsDegree of HarmResidents 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 ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 10/30/2009
  • Correction Date: 11/30/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/30/2009
  • Correction Date: 11/27/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 10/30/2009
  • Correction Date: 11/27/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 10/30/2009
  • Correction Date: 01/30/2010

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 10/30/2009
  • Correction Date: 11/27/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 10/30/2009
  • Correction Date: 11/27/2009

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 10/30/2009
  • Correction Date: 11/27/2009

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Complaint Filed: 10/30/2009
  • Correction Date: 12/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 10/30/2009
  • Correction Date: 11/27/2009

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 The Suites at Holly Creek 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 03/01/2011.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/10/2009

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 03/01/2011
  • Correction Date: 03/25/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/18/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/01/2011
  • Correction Date: 03/25/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 03/01/2011
  • Correction Date: 03/25/2011
A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 03/01/2011
  • Correction Date: 03/25/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 03/01/2011
  • Correction Date: 03/25/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/18/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/24/2009
  • Correction Date: 01/21/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/24/2009
  • Correction Date: 11/30/2009

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 11/24/2009
  • Correction Date: 12/10/2009
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 03/01/2011
  • Correction Date: 03/25/2011
Source: Medicare Nursing Home Compare; Colorado Department of Public Health and Environment - Retrieved 2011