FAMILY HEALTH WEST NURSING HOME

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

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 08/06/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 07/23/2009 Correction Date: 08/21/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 07/23/2009 Correction Date: 08/27/2009

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 07/23/2009 Correction Date: 10/07/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/23/2009 Correction Date: 08/27/2009

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 07/23/2009 Correction Date: 10/07/2009
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: 07/23/2009 Correction Date: 08/21/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 07/23/2009 Correction Date: 08/21/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/22/2008 Correction Date: 11/25/2008

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 10/22/2008 Correction Date: 01/01/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
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: 10/22/2008 Correction Date: 11/25/2008
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 07/23/2009 Correction Date: 08/11/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/23/2009 Correction Date: 08/27/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 07/23/2009 Correction Date: 08/28/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 07/23/2009 Correction Date: 08/21/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/23/2009 Correction Date: 10/07/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 08/06/2010 Correction Date: 08/27/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 10/22/2008 Correction Date: 11/25/2008
Provide Care for Each Resident in a Way That Keeps or Builds the Resident's Quality of Life. Inspection Date: 07/23/2009 Correction Date: 08/28/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/23/2009 Correction Date: 10/07/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 07/23/2009 Correction Date: 10/07/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/06/2010 Correction Date: 08/26/2010

The table below lists incident reports by the nursing staff or administration for Family Health West Nursing Home, as well as complaints by residents or their family in the previous three years.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Complaint Filed: 01/13/2011 Correction Date: 02/16/2011

Environmental

Keep Safe, Clean and Homelike Surroundings. Complaint Filed: 01/13/2011 Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 01/13/2011 Correction Date: 02/16/2011

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. Complaint Filed: 01/13/2011 Correction Date: 02/16/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Complaint Filed: 01/13/2011 Correction Date: 01/01/1900
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 01/13/2011 Correction Date: 03/31/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 01/13/2011 Correction Date: 02/16/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Complaint Filed: 01/13/2011 Correction Date: 02/16/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Complaint Filed: 01/13/2011 Correction Date: 02/16/2011
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 01/13/2011 Correction Date: 02/16/2011

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required. Complaint Filed: 01/13/2011 Correction Date: 03/31/2011

Resident Rights

Let Residents Complain Without Being Treated Differently or Badly. Complaint Filed: 01/13/2011 Correction Date: 01/01/1900
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 01/13/2011 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 Family Health West Nursing Home 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 09/02/2010.

Automatic Sprinkler Systems

Portable Fire Extinguishers. Inspection Date: 11/19/2008 Correction Date: 11/22/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/02/2010 Correction Date: 09/28/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 08/06/2009 Correction Date: 09/15/2009
Approved Construction Type or Materials. Inspection Date: 09/02/2010 Correction Date: 09/23/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 11/19/2008 Correction Date: 12/18/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 11/19/2008 Correction Date: 11/20/2008
Corridor and Hallway Doors That Block Smoke. Inspection Date: 09/02/2010 Correction Date: 10/01/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 08/06/2009 Correction Date: 09/02/2009
The Appropriate Emergency Electrical Equipment. Inspection Date: 09/02/2010 Correction Date: 10/01/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/02/2010 Correction Date: 09/10/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 11/19/2008 Correction Date: 11/19/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 08/06/2009 Correction Date: 09/02/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/02/2010 Correction Date: 09/28/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/02/2010 Correction Date: 10/01/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 08/06/2009 Correction Date: 08/11/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 09/02/2010 Correction Date: 10/01/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 08/06/2009 Correction Date: 09/09/2009