Pikes Peak Center

Health Inspections

Health Inspections
1
Health Deficiencies
This Nursing Home: 7
CO State Average: 7
U.S. Average: 6
CO Deficiencies Range: 1–26
Complaints & Incidents: 6
Updated April 12, 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.

May 29, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
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
7/15/2013
Have enough outside ventilation via a window or mechanical ventilation, or both.
Low
Some
7/15/2013
Provide housekeeping and maintenance services.
Low
Some
7/15/2013
Have a program that investigates, controls and keeps infection from spreading.
Low
Few
7/15/2013
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Low
Few
7/15/2013
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
7/15/2013
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Few
7/15/2013

April 06, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Some
5/7/2012
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
5/7/2012
Give notice to the resident before a room or roommate change.
Low
Few
5/7/2012
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
Few
5/7/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
5/7/2012
Upon the death of a resident, convey the residentâ’s personal funds and an accounting of those funds to the appropriate party.
Low
Few
5/7/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
5/7/2012
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
5/7/2012
Allow residents the right to participate in the planning or revision of care and treatment.
Low
Few
5/7/2012
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
Low
Few
5/7/2012
Conduct initial and periodic assessments of each resident's functional capacity.
Low
Few
5/7/2012
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Very Low
Some
5/7/2012

October 28, 2010 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
High
Some
12/9/2010
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to residentâ’s clinical condition.
Some
Few
12/9/2010
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Some
Few
12/9/2010
Store, cook, and serve food in a safe and clean way.
Low
Many
12/9/2010
Dispose of garbage and refuse properly.
Low
Many
12/9/2010
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
12/9/2010
1) receive registry verification that a nurse aide has met the required training and skills that the state requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
Low
Some
12/9/2010
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
12/9/2010
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
12/9/2010
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
12/9/2010
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
Low
Some
12/9/2010
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Some
12/9/2010
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Some
12/9/2010
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Low
Some
12/9/2010
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Low
Some
12/9/2010
Allow residents the right to participate in the planning or revision of care and treatment.
Low
Few
12/9/2010
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Few
12/9/2010
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
12/9/2010
Provide activities to meet the interests and needs of each resident.
Low
Few
12/9/2010
Reasonably accommodate the needs and preferences of each resident.
Low
Few
12/9/2010
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
Low
Few
12/9/2010
1) hire only people with 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.
Low
Few
12/9/2010
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Low
Few
12/9/2010
Keep each resident free from physical restraints, unless needed for medical treatment.
Low
Few
12/9/2010
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
12/9/2010
Give residents a notice of rights, rules, services and charges.
Low
Few
12/9/2010
Give each resident enough fluids to keep them healthy and prevent dehydration.
Low
Few
12/9/2010
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
12/9/2010
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
12/9/2010
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
12/9/2010
Ensure each resident receives an accurate assessment by a qualified health professional.
Low
Few
12/9/2010
Conduct initial and periodic assessments of each resident's functional capacity.
Low
Few
12/9/2010
Post nurse staffing information/data on a daily basis.
Very Low
Some
12/9/2010

May 29, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Low
Some
Not Corrected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Some
Not Corrected
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Very Low
Some
Not Corrected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
7/15/2013
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
7/15/2013
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Some
7/15/2013

June 05, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Some
Few
7/15/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
7/15/2012
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
7/15/2012
1) hire only people with 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.
Low
Few
7/15/2012

April 06, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide housekeeping and maintenance services.
Very Low
Some
5/7/2012
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Few
5/7/2012
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
Low
Few
5/7/2012
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
5/7/2012
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
5/7/2012
1) hire only people with 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.
Low
Few
5/7/2012

January 25, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
Not Corrected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
2/13/2012
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Low
Few
2/13/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Some
Few
2/13/2012

October 28, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide timely notification to the resident before transfer or discharge.
Low
Few
11/30/2011
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
Not Corrected
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
11/30/2011
Give residents a notice of rights, rules, services and charges.
Low
Some
11/30/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Some
Few
11/30/2011

March 29, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
Low
Many
4/15/2011

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 April 12, 2014.


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