LEMAY AVENUE HEALTH AND REHABILITATION FACILITY

The information listed below provides an in-depth look into the type and quality of care offered at Lemay Avenue Health and Rehabilitation Facility. 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

LEMAY AVENUE HEALTH AND REHABILITATION FACILITY
4824 SOUTH LEMAY AVENUE
FORT COLLINS, CO 80525
(970) 482-1584

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 117
  • Certified Beds: 130

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

Get Free Help Finding Senior Care

  • Compare Costs and Services
  • 100% Free Service - No Obligation
  • Discuss Different Care Options Availabe
Fill out the form above to get started
Looking For*
City/State*
First Name*
Last Name*
Phone*
Email*

Note:* Required Fields

We value your privacy. By clicking "Request Assistance", you agree to the terms and conditions of our privacy policy. You also consent that we, or our partner providers, can reach out to you using a system that can auto-dial. Your consent is not required to use our service.

Nearby Cities:

Loveland | Windsor | Berthoud

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 "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 Lemay Avenue Health and Rehabilitation Facility. 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

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three 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: 11-161.0%
ADL Index Range: 2-100.7%
Total Percent:1.7%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 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: 11-161.2%
ADL Index Range: 2-103.3%
Total Percent:4.5%
 

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: 2-102.2%
Total Percent:2.2%
 

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: 11-168.0%
ADL Index Range: 6-106.0%
ADL Index Range: 0-57.1%
Total Percent:21.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1619.2%
ADL Index Range: 6-1023.9%
ADL Index Range: 0-56.0%
Total Percent:49.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.6%
ADL Index Range: 6-1010.3%
ADL Index Range: 0-56.8%
Total Percent:18.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.9%
ADL Index Range: 6-100.5%
ADL Index Range: 0-51.1%
Total Percent:2.5%
 

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
0.06%
Total Percent:0.06%
 

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
- No Signs of depression
0.1%
Total Percent:0.1%
 

Rating Details For Lemay Avenue Health and Rehabilitation Facility

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) Hours1 Hour and 10 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours39 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 56 Minutes2 Hours and 36 Minutes
Total Licensed Nurse Hours1 Hour and 48 Minutes2 Hours and 1 Minutes
Total Nurse Hours4 Hours and 44 Minutes4 Hours and 37 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 Given Influenza Vaccination During the Flu Season90-100%88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%87%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder66%48%
Percent of Long-Stay Residents Who Are More Depressed or Anxious20%16%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%7%
Percent of Long-Stay Residents Who Were Physically Restrained1%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%11%
Percent of Long-Stay Residents Who Lose Too Much Weight14%8%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection21%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%15%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season73%81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain10%23%
Percent of Short-Stay Residents Who Have Pressure Sores3%9%
Percent of Short-Stay Residents Who Have Delirium1%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 10/01/2010.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/11/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/01/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/05/2010

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: 10/09/2008
  • Correction Date: 11/11/2008
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: 08/06/2009
  • Correction Date: 09/14/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/05/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/14/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/05/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/11/2008
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: 08/06/2009
  • Correction Date: 09/14/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/14/2009
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: 10/01/2010
  • Correction Date: 10/26/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 10/01/2010
  • Correction Date: 10/01/2010
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/05/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/11/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/14/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/14/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/08/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 08/06/2009
  • Correction Date: 09/14/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/05/2010

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: 08/06/2009
  • Correction Date: 09/08/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/01/2010
  • Correction Date: 11/05/2010

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/11/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/09/2008
  • Correction Date: 11/11/2008
Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 10/01/2010
  • Correction Date: 10/26/2010
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: 10/01/2010
  • Correction Date: 10/26/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 10/01/2010
  • Correction Date: 10/01/2010
Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
  • Inspection Date: 10/01/2010
  • Correction Date: 10/26/2010

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)05/07/2010$975

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Lemay Avenue Health and Rehabilitation Facility, 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

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/17/2010
Choose a Doctor to Be the Medical Director.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/17/2010
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/17/2010

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/17/2010
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: 05/07/2010
  • Correction Date: 06/17/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/17/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/17/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Complaint Filed: 05/07/2010
  • Correction Date: 06/17/2010

Resident Rights

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: 05/07/2010
  • Correction Date: 06/17/2010

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 Lemay Avenue Health and Rehabilitation Facility 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 10/29/2010.

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

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010

Building Service Equipment

Properly Constructed Linen or Trash Chutes.
  • Inspection Date: 08/26/2009
  • Correction Date: 09/25/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 11/05/2008
  • Correction Date: 12/05/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/26/2009
  • Correction Date: 09/25/2009

Electrical

The Appropriate Emergency Electrical Equipment.
  • Inspection Date: 08/26/2009
  • Correction Date: 09/18/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/05/2008
  • Correction Date: 12/05/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010
Properly Maintained Smoke Detectors.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 11/05/2008
  • Correction Date: 12/05/2008
Restrictions on the Use of Highly Flammable Materials.
  • Inspection Date: 11/05/2008
  • Correction Date: 12/05/2008
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 11/05/2008
  • Correction Date: 12/05/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/26/2009
  • Correction Date: 09/25/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 10/29/2010
  • Correction Date: 12/08/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building.
  • Inspection Date: 11/05/2008
  • Correction Date: 12/05/2008
Source: Medicare Nursing Home Compare; Colorado Department of Public Health and Environment - Retrieved 2011