WOODRIDGE PARK NURSING AND REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at Woodridge Park Nursing and Rehabilitation. 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

WOODRIDGE PARK NURSING AND REHABILITATION
7150 POPLAR STREET
COMMERCE CITY, CO 80022
(303) 289-7110

Nursing Home Ratings

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

Overall Rating

Percent of Beds Occupied

94%

Number of Residents and Certified Beds

Residents: 89
Certified Beds: 95

This Facility Accepts

Medicare
Medicaid

Operational Details

Operated By For Profit - Corporation
Offers Only Resident Counseling
This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Thornton | Denver | Aurora

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 "Ultra-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 Woodridge Park Nursing and Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident Services

Resident Conditions

Percent of Service Days

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: 11-16	7.7%
ADL Index Range: 6-10	8.2%
ADL Index Range: 0-5	56.8%
Total Percent:	72.7%

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 0-5	22.5%
Total Percent:	22.5%

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum

At least one rehabilitation discipline five days/week

ADL Index Range: 0-5	1.4%
Total Percent:	1.4%

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum

Five days any combination of three rehabilitation disciplines

ADL Index Range: 0-5	2.7%
Total Percent:	2.7%

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: 0-1 - Less restorative nursing	0.7%
Total Percent:	0.7%

Rating Details For Woodridge Park Nursing and Rehabilitation

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 Day	Reported	Expected
Registered Nurse (RN) Hours	37 Minutes	52 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours	29 Minutes	34 Minutes
Certified Nursing Assistant (CNA) Hours	2 Hours and 15 Minutes	2 Hours and 11 Minutes
Total Licensed Nurse Hours	1 Hour and 5 Minutes	1 Hour and 26 Minutes
Total Nurse Hours	3 Hours and 20 Minutes	3 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 Facility

Colorado Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season	81%	88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	72%	87%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	2%	7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair	-	3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection	1%	9%
Percent of Long-Stay Residents Who Lose Too Much Weight	6%	8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores	-	3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder	19%	48%
Percent of Long-Stay Residents Who Are More Depressed or Anxious	6%	16%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores	-	9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased	29%	15%
Percent of Long-Stay Residents Who Were Physically Restrained	5%	4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain	-	4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse	28%	11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination	57%	79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season	63%	81%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain	10%	23%
Percent of Short-Stay Residents Who Have Pressure Sores	10%	9%
Percent of Short-Stay Residents Who Have Delirium	-	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 05/20/2010.

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 Inspectors

Degree of Harm

Residents Affected

Administration

Keep Accurate and Appropriate Medical Records.

Inspection Date: 05/30/2008
Correction Date: 07/02/2008

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 05/30/2008 Correction Date: 07/03/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/30/2008 Correction Date: 07/02/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 05/30/2008 Correction Date: 07/02/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/30/2008 Correction Date: 06/24/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 05/20/2010 Correction Date: 06/23/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 05/20/2010 Correction Date: 06/23/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.

Inspection Date: 05/20/2010
Correction Date: 06/23/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/30/2008 Correction Date: 06/27/2008
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/23/2009 Correction Date: 07/20/2009

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: 05/30/2008 Correction Date: 06/15/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/30/2008 Correction Date: 06/30/2008
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: 04/23/2009 Correction Date: 06/09/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 05/20/2010 Correction Date: 06/23/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/30/2008 Correction Date: 07/01/2008
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 05/30/2008 Correction Date: 06/30/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 05/30/2008 Correction Date: 07/01/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/30/2008 Correction Date: 06/15/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 05/30/2008 Correction Date: 07/01/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 05/30/2008 Correction Date: 06/04/2008
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/30/2008 Correction Date: 06/27/2008
Give or Get Special Rehabilitation if in the Patient's Plan of Care. Inspection Date: 05/30/2008 Correction Date: 07/02/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/20/2010 Correction Date: 06/23/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 05/20/2010 Correction Date: 06/23/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 05/20/2010 Correction Date: 06/23/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 05/20/2010 Correction Date: 06/23/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration. Inspection Date: 05/20/2010 Correction Date: 06/23/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/30/2008 Correction Date: 06/18/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/30/2008 Correction Date: 06/18/2008
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: 05/30/2008 Correction Date: 06/15/2008
Develop a Plan with the Resident and Family for the Resident's Care After Leaving the Nursing Home. Inspection Date: 05/30/2008 Correction Date: 06/15/2008
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 05/20/2010 Correction Date: 06/23/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/20/2010 Correction Date: 06/23/2010

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 05/30/2008 Correction Date: 06/19/2008
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. Inspection Date: 05/30/2008 Correction Date: 06/15/2008
Send and Promptly Deliver Unopened Mail to Residents. Inspection Date: 05/30/2008 Correction Date: 07/01/2008
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home. Inspection Date: 04/23/2009 Correction Date: 06/09/2009
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 05/20/2010 Correction Date: 06/23/2010
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: 05/20/2010 Correction Date: 06/23/2010
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: 05/20/2010 Correction Date: 06/23/2010

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 Taken	Date	Amount
Civil Money Penalty (CMP)	04/23/2009	$2,113
Civil Money Penalty (CMP)	11/03/2008	$4,500
Denial of Payment for New Admission (DPNA)	11/03/2008	-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Woodridge Park Nursing and Rehabilitation, 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 Complaints

Degree of Harm

Residents Affected