THE PEAKS CARE CENTER

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 Peaks Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Reduced Physical Function

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 02/12/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 02/06/2008 Correction Date: 03/11/2008
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Have a Detailed, Written Plan for Disasters and Emergencies. Inspection Date: 01/14/2009 Correction Date: 02/18/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/06/2008 Correction Date: 03/11/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 02/06/2008 Correction Date: 03/11/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 02/06/2008 Correction Date: 03/11/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/14/2009 Correction Date: 02/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/14/2009 Correction Date: 02/13/2009
Have Enough Backup Water Supply for Important Areas of the Nursing Home. Inspection Date: 01/14/2009 Correction Date: 02/13/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/12/2010 Correction Date: 03/08/2010
Have Enough Outside Airflow. Inspection Date: 02/12/2010 Correction Date: 03/19/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 02/06/2008 Correction Date: 03/11/2008
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. Inspection Date: 01/14/2009 Correction Date: 02/15/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 02/06/2008 Correction Date: 03/11/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/12/2010 Correction Date: 03/19/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
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: 02/12/2010 Correction Date: 03/19/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/12/2010 Correction Date: 03/10/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/06/2008 Correction Date: 03/11/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/06/2008 Correction Date: 03/11/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/14/2009 Correction Date: 02/13/2009
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: 01/14/2009 Correction Date: 02/13/2009
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/12/2010 Correction Date: 03/19/2010

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: 02/06/2008 Correction Date: 03/11/2008
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: 01/14/2009 Correction Date: 02/15/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Do an Assessment of the Resident Every Year. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/12/2010 Correction Date: 03/19/2010

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 01/14/2009 Correction Date: 02/13/2009
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. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/14/2009 Correction Date: 02/15/2009
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Tell the Resident Completely About His or Her Health Status. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Let Residents Give Themselves Their Drugs if They Are Able. Inspection Date: 02/12/2010 Correction Date: 03/19/2010
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 02/12/2010 Correction Date: 03/19/2010

The table below lists incident reports by the nursing staff or administration for The Peaks Care Center, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/21/2010 Correction Date: 05/27/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/06/2011 Correction Date: 01/01/1900

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 Peaks 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 03/11/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Properly Working Alarms on Sprinkler Valves. Inspection Date: 02/05/2009 Correction Date: 03/17/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/05/2009 Correction Date: 03/17/2009
Portable Fire Extinguishers. Inspection Date: 02/05/2009 Correction Date: 03/06/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 03/11/2010 Correction Date: 04/20/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 02/05/2009 Correction Date: 03/17/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 02/27/2008 Correction Date: 04/07/2008

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 02/05/2009 Correction Date: 03/17/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/11/2010 Correction Date: 04/20/2010
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/11/2010 Correction Date: 05/11/2010
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 03/11/2010 Correction Date: 04/20/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/05/2009 Correction Date: 03/06/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/11/2010 Correction Date: 05/11/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 02/05/2009 Correction Date: 03/06/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/05/2009 Correction Date: 03/06/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Exits That Are Accessible at All Times. Inspection Date: 02/05/2009 Correction Date: 03/17/2009
Exits That Are Accessible at All Times. Inspection Date: 03/11/2010 Correction Date: 05/11/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 02/05/2009 Correction Date: 03/06/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/11/2010 Correction Date: 04/20/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/05/2009 Correction Date: 03/06/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 02/05/2009 Correction Date: 03/17/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 03/11/2010 Correction Date: 04/20/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/05/2009 Correction Date: 02/27/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/11/2010 Correction Date: 05/11/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Properly Located and Lighted "Exit" Signs. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/05/2009 Correction Date: 03/17/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 02/05/2009 Correction Date: 03/06/2009
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 02/05/2009 Correction Date: 03/17/2009
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 03/11/2010 Correction Date: 05/11/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 03/11/2010 Correction Date: 05/11/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/27/2008 Correction Date: 04/07/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 02/05/2009 Correction Date: 03/17/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 02/05/2009 Correction Date: 02/27/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/11/2010 Correction Date: 05/11/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/11/2010 Correction Date: 05/11/2010