PIONEER HEALTH 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 "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 Pioneer Health Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Special Care High

Special Care Low

Clinically Complex

Behavioral Symptoms and Cognitive Performance

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 01/13/2011.

Administration

Post Nurse Staffing Information. Inspection Date: 01/13/2011 Correction Date: 02/21/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 11/25/2008 Correction Date: 12/22/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/25/2008 Correction Date: 12/22/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/13/2011 Correction Date: 03/23/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Keep All Essential Equipment Working Safely. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 01/13/2011 Correction Date: 02/21/2011

Mistreatment

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: 01/13/2011 Correction Date: 02/21/2011

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day. Inspection Date: 11/25/2008 Correction Date: 12/22/2008
Make Sure That Residents Are Well Nourished. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Provide Food in a Way That Meets a Resident's Needs. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/13/2011 Correction Date: 02/21/2011

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: 11/25/2008 Correction Date: 12/22/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
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: 01/13/2011 Correction Date: 03/23/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Properly Mark Drugs and Other Similar Products. Inspection Date: 01/13/2011 Correction Date: 03/23/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 11/25/2008 Correction Date: 12/22/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 01/13/2011 Correction Date: 03/23/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/13/2011 Correction Date: 02/21/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 11/25/2008 Correction Date: 12/22/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home. Inspection Date: 11/25/2008 Correction Date: 12/22/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
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: 01/13/2011 Correction Date: 02/21/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/13/2011 Correction Date: 03/23/2011
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: 01/13/2011 Correction Date: 02/21/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/25/2008 Correction Date: 12/22/2008
Tell the Resident Completely About His or Her Health Status. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 10/29/2009 Correction Date: 11/25/2009
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: 01/13/2011 Correction Date: 02/21/2011
Have a Private Telephone Available for Use. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/13/2011 Correction Date: 02/21/2011
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 01/13/2011 Correction Date: 02/21/2011

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.

The table below lists incident reports by the nursing staff or administration for Pioneer Health 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: 04/08/2009 Correction Date: 05/02/2009

Mistreatment

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. Complaint Filed: 04/08/2009 Correction Date: 05/02/2009

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 04/08/2009 Correction Date: 05/02/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 04/08/2009 Correction Date: 05/02/2009

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: 04/08/2009 Correction Date: 05/02/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Complaint Filed: 04/08/2009 Correction Date: 05/02/2009
Let the Resident or the Resident's Representative Look at All Records. Complaint Filed: 04/08/2009 Correction Date: 05/02/2009
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. Complaint Filed: 04/08/2009 Correction Date: 05/02/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 04/08/2009 Correction Date: 05/02/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Complaint Filed: 04/08/2009 Correction Date: 05/02/2009

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 Pioneer 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 01/27/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 11/24/2009 Correction Date: 11/27/2009

Building Service Equipment

A Properly Installed and Maintained Dumbwaiter or Escalator. Inspection Date: 01/27/2011 Correction Date: 02/01/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/22/2008 Correction Date: 12/23/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 11/24/2009 Correction Date: 12/04/2009
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 01/27/2011 Correction Date: 02/08/2011
Corridor and Hallway Doors That Block Smoke. Inspection Date: 01/27/2011 Correction Date: 02/10/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/22/2008 Correction Date: 12/23/2008
A Separate and Independent Backup Electrical Power Source. Inspection Date: 01/27/2011 Correction Date: 01/27/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 01/27/2011 Correction Date: 02/09/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 11/24/2009 Correction Date: 11/26/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 01/27/2011 Correction Date: 02/02/2011