Suites At Holly Creek Care Center, The Ratings

Ratings

Overall 2 Stars

From ratings in health inspections, nurse staffing, and measures of medical-care quality.

Health Inspections 2 Stars

How well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted at least every 15 months.

Deficiencies found in standard inspection(s) and complaint investigations 9/1/2010 to 11/30/2011

Total number of health deficiencies for this nursing home:
9
Average number of health deficiencies (Colorado):
11
Average number of health deficiencies (U.S.):
8
Range of health deficiencies (Colorado):
1-47

Environmental Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Have a program to keep infection from spreading. 2/3/2011 3/7/2011
Make sure that the nursing home area is free of dangers that cause accidents. 2/3/2011 3/7/2011

Pharmacy Service Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. 2/3/2011 3/7/2011
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 2/3/2011 3/7/2011

Quality Care Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Give each resident care and services to get or keep the highest quality of life possible. 2/3/2011 3/7/2011
Give professional services that meet a professional standard of quality. 2/3/2011 3/7/2011

Resident Assessment Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. 2/3/2011 3/7/2011

Resident Rights Deficiencies

What the nursing
home failed to do
Inspection Date Date Corrected Level of
Harm (least to most)
Residents Affected (few to many)
Let residents give themselves their drugs if they are able. 2/3/2011 3/7/2011
Tell the resident completely about his or her health status. 2/3/2011 3/7/2011

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

View previous inspections

Nurse Staffing 3 Stars

Average number of hours per day of care received per resident from nurses at all levels.

This Nursing Home State Average National Average
RN staffing 5 out of 5 stars NA NA
Number of residents 23 76 88
Hours per resident (all nurses) 1 hour 34 minutes 1 hour 40 minutes 1 hour 35 minutes
Hours per resident (RNs only) 1 hour 23 minutes 56 minutes 44 minutes
Hours per resident (LPNs, LVNs) 10 minutes 45 minutes 50 minutes
Hours per resident (CNAs) 1 hour 2 minutes 2 hours 19 minutes 2 hours 28 minutes
RN:
registered nurse
LPN:
licensed practical nurse
LVN:
licensed vocational nurse
CNA:
certified nurse assistant

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

Quality Measures 2 Stars

Percentages of residents who got recommended care, such as flu vaccinations, and percentages of residents who had pain, bedsores, urinary tract infections, and other care‑related problems.

Long-stay preventive measures (Higher percentages are better)

This Nursing Home State Average National Average
Percent of long-stay residents given influenza vaccination during the flu season 76% 87% 90%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 66% 85% 88%

Long-stay deficiencies (Lower percentages are better)

This Nursing Home State Average National Average
Percent of long-stay residents whose need for help with daily activities has increased NA 14% 14%
Percent of long-stay residents who have moderate to severe pain 7% 3% 3%
Percent of high-risk long-stay residents who have pressure sores 17% 9% 10%
Percent of low-risk long-stay residents who have pressure sores NA 1% 1%
Percent of long-stay residents who were physically restrained 0% 2% 2%
Percent of long-stay residents who are more depressed or anxious 19% 15% 14%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 61% 48% 51%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 11% 7% 5%
Percent of long-stay residents who spend most of their time in bed or in a chair 0% 2% 4%
Percent of long-stay residents whose ability to move about in and around their room got worse NA 11% 11%
Percent of long-stay residents who had a urinary tract infection 9% 8% 8%
Percent of long-stay residents who lose too much weight 16% 8% 7%

Short-stay preventive measures (Higher percentages are better)

This Nursing Home State Average National Average
Percent of short-stay residents given influenza vaccination during the flu season 73% 80% 84%
Percent of short-stay residents who were assessed and given pneumococcal vaccination 56% 78% 82%

Short-stay deficiencies (Lower percentages are better)

This Nursing Home State Average National Average
Percent of short-stay residents who have delirium 2% 1% 1%
Percent of short-stay residents who had moderate to severe pain 47% 22% 19%
Percent of short-stay residents who have pressure sores 12% 8% 12%

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

Fire Safety Deficiencies

How well this home met National Fire Protection Agency standards in the most recent inspection.

Deficiencies found in standard inspection(s) and complaint investigations 9/1/2010 to 11/30/2011

Total number of fire safety deficiencies for this nursing home:
6
Average number of fire safety deficiencies (Colorado):
6
Average number of fire safety deficiencies (U.S.):
4
Range of fire safety deficiencies (Colorado):
1-22

Building Construction Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
A two-hour-resistant firewall in common walls. 3/1/2011 3/25/2011

Corridor Walls and Doors Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
Corridor and hallway doors that block smoke. 3/1/2011 3/25/2011

Electrical Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
A separate and independent backup electrical power source. 3/1/2011 3/25/2011
Weekly inspections and monthly testing of generators. 3/1/2011 3/25/2011

Emergency Plans and Fire Drills Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
Record of quarterly fire drills for each shift under varying conditions. 3/1/2011 3/25/2011

Medical Gases and Anesthetizing Areas Deficiencies

What the nursing
home did not have
Inspection Date Date Corrected Level of Harm (least to most) Residents Affected (few to many)
Proper fire barriers, ventilation and signs for the transport of oxygen. 3/1/2011 3/25/2011

NA: Not available, not applicable, insufficient data, or did not report.

Note: Deficiencies (totals and ranges) and averages (state and national) may not match those shown on the federal Nursing Home Compare Web site. The Centers for Medicare and Medicaid Services, which runs the site, reviewed and approved the U.S. News method.

View previous inspections

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