Sundance Skilled Nursing and Rehabilitation

Health Inspections

Health Inspections
1
Health Deficiencies
This Nursing Home: 10
CO State Average: 7
U.S. Average: 6
CO Deficiencies Range: 1–26
Complaints & Incidents: 10
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.

August 22, 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
9/20/2013
Store, cook, and serve food in a safe and clean way.
Low
Some
9/20/2013
Maintain comfortable and safe temperature levels.
Low
Some
9/20/2013
Provide housekeeping and maintenance services.
Low
Some
9/20/2013
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
9/20/2013
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Some
9/20/2013
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
9/20/2013
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
9/20/2013
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Few
9/20/2013
Provide or obtain dental services for each resident.
Low
Few
9/20/2013

September 10, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
Low
Some
9/29/2012
Store, cook, and serve food in a safe and clean way.
Low
Some
9/29/2012
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
9/29/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
9/29/2012

August 10, 2011 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure residents maintain acceptable nutritional status.
Some
Few
9/26/2011
Have an agreement with at least one or more hospitals certified by medicare or medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Low
Many
9/26/2011
Have a program that investigates, controls and keeps infection from spreading.
Low
Many
9/26/2011
Hire sufficient dietary support personnel.
Low
Many
9/26/2011
Keep clinical record information safe.
Low
Many
9/26/2011
Maintain comfortable and safe temperature levels.
Low
Many
9/26/2011
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Many
9/26/2011
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Low
Many
9/26/2011
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Low
Many
9/26/2011
Store, cook, and serve food in a safe and clean way.
Low
Many
9/26/2011
Offer other nutritional food to each resident who will not eat the food served.
Low
Some
9/26/2011
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
Low
Some
9/26/2011
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
Low
Some
9/26/2011
Give residents a notice of rights, rules, services and charges.
Low
Some
9/26/2011
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Low
Some
9/26/2011
1) review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
Low
Some
9/26/2011
Ensure that residents are safe from serious medication errors.
Low
Some
9/26/2011
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Some
9/26/2011
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Low
Some
9/26/2011
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
Low
Some
9/26/2011
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Low
Some
9/26/2011
Give each resident enough fluids to keep them healthy and prevent dehydration.
Low
Few
9/26/2011
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
9/26/2011
Ensure each resident receives an accurate assessment by a qualified health professional.
Low
Few
9/26/2011
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.
Low
Few
9/26/2011
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
9/26/2011
Provide activities to meet the interests and needs of each resident.
Low
Few
10/6/2011
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Few
9/26/2011
Reasonably accommodate the needs and preferences of each resident.
Low
Few
9/26/2011
Allow residents the right to participate in the planning or revision of care and treatment.
Low
Few
9/26/2011
Try to resolve each resident's complaints quickly.
Low
Few
9/26/2011
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
9/26/2011
Have enough outside ventilation via a window or mechanical ventilation, or both.
Low
Few
9/26/2011
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
Few
9/26/2011
Give notice to the resident before a room or roommate change.
Low
Few
9/26/2011
Post nurse staffing information/data on a daily basis.
Very Low
Many
9/26/2011
Provide resident groups or resident family groups with private space to meet.
Very Low
Some
9/26/2011

August 10, 2011 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
Some
10/5/2011
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
9/26/2011
Protect each resident from all abuse, physical punishment, and involuntary separation from others.
High
Some
10/6/2011
Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the united states.
Low
Few
9/26/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
9/26/2011
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
9/26/2011
Employ staff that are licensed, certified, or registered in accordance with state laws.
Low
Few
9/26/2011
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
High
Some
10/6/2011
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
10/6/2011
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.
High
Some
10/6/2011

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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