Pavilion at Villa Pueblo

Health Inspections

Health Inspections
1
Health Deficiencies
This Nursing Home: 12
CO State Average: 7
U.S. Average: 6
CO Deficiencies Range: 1–23
Complaints & Incidents: 5
Updated June 19, 2014.

This rating indicates how well this home has complied with standards for food preparation and other health-related activities in state inspections conducted approximately every 15 months. Results from inspections after the latest date shown below may be available at Nursing Home Compare.

October 29, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Low
Many
12/3/2013
Store, cook, and serve food in a safe and clean way.
Low
Many
12/3/2013
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
12/3/2013
Provide housekeeping and maintenance services.
Low
Some
12/3/2013
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
Low
Some
12/3/2013
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
12/3/2013
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
12/3/2013
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
12/3/2013
Give or get specialized rehabilitative services per the patient's assessment or plan of care.
Low
Few
12/3/2013
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Low
Few
12/3/2013
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
12/3/2013
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Low
Few
12/3/2013

September 19, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Low
Many
10/24/2012
Store, cook, and serve food in a safe and clean way.
Low
Many
10/24/2012
Have a program that investigates, controls and keeps infection from spreading.
Low
Many
10/24/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
11/28/2012
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Low
Some
11/28/2012
Maintain comfortable sound levels.
Low
Some
10/24/2012
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Some
10/26/2012
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Some
10/24/2012
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Low
Some
10/24/2012
Allow residents the right to participate in the planning or revision of care and treatment.
Low
Few
10/24/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
10/24/2012
Ensure each resident receives an accurate assessment by a qualified health professional.
Low
Few
10/24/2012
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Low
Few
10/24/2012
Ensure residents maintain acceptable nutritional status.
Low
Few
10/24/2012
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
10/24/2012
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Low
Few
11/27/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
10/24/2012
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
10/24/2012
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
10/24/2012
Provide or obtain dental services for each resident.
Low
Few
10/24/2012
Conduct initial and periodic assessments of each resident's functional capacity.
Low
Few
11/12/2012
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
Very Low
Some
10/24/2012

September 20, 2011 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
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.
Some
Few
10/19/2011
Store, cook, and serve food in a safe and clean way.
Low
Many
10/20/2011
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Low
Many
10/20/2011
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Some
10/20/2011
Provide housekeeping and maintenance services.
Low
Some
10/20/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
10/20/2011
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Low
Some
10/20/2011
Ensure each resident receives an accurate assessment by a qualified health professional.
Low
Some
10/20/2011
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Low
Some
10/20/2011
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
Low
Some
10/20/2011
Reasonably accommodate the needs and preferences of each resident.
Low
Few
10/21/2011
Make sure that a working call system is available in each resident's room or bathroom and bathing area.
Low
Few
10/20/2011
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
10/20/2011
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Few
10/20/2011
Conduct initial and periodic assessments of each resident's functional capacity.
Low
Few
10/20/2011
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
10/20/2011
Provide or obtain dental services for each resident.
Low
Few
10/20/2011
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
10/20/2011
Provide activities to meet the interests and needs of each resident.
Low
Few
10/20/2011
Post nurse staffing information/data on a daily basis.
Very Low
Many
10/20/2011

April 10, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Try to resolve each resident's complaints quickly.
Low
Few
Not Corrected
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
Not Corrected
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
Not Corrected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Some
Few
Not Corrected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Some
Few
Not Corrected

December 04, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
Some
Few
Not Corrected

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated June 19, 2014.


Search Nursing Homes

Nearby Nursing Homes