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ENGLEWOOD POST ACUTE AND REHABILITATION Inspection Report, Violations & Safety Grade (ENGLEWOOD, Colorado)

3575 S WASHINGTON ST, ENGLEWOOD, Colorado 80113

Phone: 3037892265

CMS Overall:4/5

Overview & Bed Count

Certified Beds
82
Avg Residents/Day
72.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Arapahoe
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityColorado AvgDifference
RN Hours per Resident per Day0.720.81-0.09
Total Nurse Hours per Resident per Day3.143.69-0.56
CMS Staffing Rating3/53.1/5-
Nursing Staff Turnover33.9%47%-

Health Citation History

16 health citations on record

DateCategoryDescriptionSeverity
2024-11-07Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.E – Moderate Harm Potential
2024-11-07Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-11-07Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2024-11-07Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-11-07Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2024-11-07Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2023-06-06Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2023-06-06Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2023-06-06Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2023-06-06Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential
2020-03-10Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2020-03-10Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2020-03-10Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2020-03-10Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E – Moderate Harm Potential
2020-03-10Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E – Moderate Harm Potential
2020-03-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential

Fire Safety Citation History

18 fire safety citations on record

DateCategoryDescriptionSeverity
2024-11-07Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2024-11-07Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-11-07Egress DeficienciesProvide large enough exits.E – Moderate Harm Potential
2024-11-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-11-07Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.D – Moderate Harm Potential
2023-06-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-06-06Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-06-06Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2020-03-10Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2020-03-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2020-03-10Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2020-03-10Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2020-03-10Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2020-03-10Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2020-03-10Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2020-03-10Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.D – Moderate Harm Potential
2020-03-10Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2020-03-10Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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