PIONEER HEALTH CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Pioneer Health 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

PIONEER HEALTH CARE CENTER
900 SOUTH 12TH STREET
ROCKY FORD, CO 81067
(719) 254-3314

Nursing Home Ratings

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

Percent of Beds Occupied

65%

Number of Residents and Certified Beds

  • Residents: 59
  • Certified Beds: 91

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

La Junta | Ordway | Fowler

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 "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.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-102.3%
Total Percent:2.3%
 

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: 6-105.6%
ADL Index Range: 0-55.6%
Total Percent:11.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.1%
ADL Index Range: 6-105.6%
ADL Index Range: 0-57.4%
Total Percent:17.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1015.8%
ADL Index Range: 0-55.4%
Total Percent:21.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.6%
ADL Index Range: 0-513.0%
Total Percent:16.6%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
2.3%
ADL Index Range: 15-16
- No Signs of depression
3.3%
ADL Index Range: 11-14
- No Signs of depression
3.6%
Total Percent:9.2%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
1.3%
ADL Index Range: 6-10
- No Signs of depression
4.6%
Total Percent:5.9%
 

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: 11-14
- Signs of depression
3.6%
ADL Index Range: 2-5
- No Signs of depression
8.2%
ADL Index Range: 0-1
- No Signs of depression
0.5%
Total Percent:12.2%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
1.3%
ADL Index Range: 0-1
- Less restorative nursing
2.8%
Total Percent:4.1%
 

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 Pioneer Health 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) Hours22 Minutes1 Hour and 2 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours36 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 17 Minutes2 Hours and 4 Minutes
Total Licensed Nurse Hours58 Minutes1 Hour and 40 Minutes
Total Nurse Hours2 Hours and 15 Minutes3 Hours and 44 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 Vaccination90-100%87%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder13%48%
Percent of Long-Stay Residents Who Are More Depressed or Anxious25%16%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%11%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased31%15%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores17%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores11%9%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%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 01/13/2011.

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

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

Enforcement

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.

Action TakenDateAmount
Civil Money Penalty (CMP)04/08/2009$3,575
Civil Money Penalty (CMP)11/25/2008$6,500
Denial of Payment for New Admission (DPNA)01/13/2011-

Deficiencies from Complaints and Incidents

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.

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

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

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 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.

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: 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
Source: Medicare Nursing Home Compare; Colorado Department of Public Health and Environment - Retrieved 2011