SIERRA REHABILITATION AND CARE COMMUNITY

The information below lists services this facility has provided for residents from October through October 2010. During this period, the most common type of service provided was "Very 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 Sierra Rehabilitation and Care Community. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation

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 05/05/2010.

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 09/04/2008 Correction Date: 10/03/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 06/18/2009 Correction Date: 07/17/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/18/2009 Correction Date: 07/17/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 06/18/2009 Correction Date: 07/17/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/05/2010 Correction Date: 06/08/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 05/05/2010 Correction Date: 06/08/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/04/2008 Correction Date: 10/03/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/05/2010 Correction Date: 06/08/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/04/2008 Correction Date: 10/03/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/04/2008 Correction Date: 10/03/2008
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: 06/18/2009 Correction Date: 07/17/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 05/05/2010 Correction Date: 06/08/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/05/2010 Correction Date: 06/08/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/05/2010 Correction Date: 06/08/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 05/05/2010 Correction Date: 06/08/2010

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Inspection Date: 09/04/2008 Correction Date: 10/03/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 09/04/2008 Correction Date: 10/03/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/04/2008 Correction Date: 10/03/2008
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress. Inspection Date: 09/04/2008 Correction Date: 10/03/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/18/2009 Correction Date: 07/17/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/05/2010 Correction Date: 06/08/2010

Resident Rights

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: 05/05/2010 Correction Date: 06/08/2010
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/05/2010 Correction Date: 06/08/2010
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home. Inspection Date: 05/05/2010 Correction Date: 06/08/2010

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 Sierra Rehabilitation and Care Community, 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: 01/26/2010 Correction Date: 01/24/2010

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 Sierra Rehabilitation and Care Community 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 05/27/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/24/2008 Correction Date: 09/29/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/08/2009 Correction Date: 07/29/2009
Portable Fire Extinguishers. Inspection Date: 07/08/2009 Correction Date: 07/29/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 05/27/2010 Correction Date: 06/30/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/08/2009 Correction Date: 07/29/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/24/2008 Correction Date: 09/24/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/27/2010 Correction Date: 06/30/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/24/2008 Correction Date: 09/25/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/08/2009 Correction Date: 07/29/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/27/2010 Correction Date: 06/30/2010

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/27/2010 Correction Date: 06/30/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/24/2008 Correction Date: 10/17/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 09/24/2008 Correction Date: 09/24/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 09/24/2008 Correction Date: 09/25/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/08/2009 Correction Date: 07/29/2009
Properly Installed Hallway Dispensers for Alcohol-Based Hand Rub. Inspection Date: 07/08/2009 Correction Date: 07/29/2009

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 05/27/2010 Correction Date: 06/30/2010

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 07/08/2009 Correction Date: 07/29/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/24/2008 Correction Date: 10/14/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 07/08/2009 Correction Date: 07/29/2009

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 07/08/2009 Correction Date: 07/29/2009