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Hallmark Nursing Center
3701 WEST RADCLIFFE AVENUE
Denver, CO 80236
(303) 794-6484
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 143 |
| Number of Residents: | 126 |
| Percent of Occupied Beds: | 88% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080704 | Health | Quality Care Deficiencies | Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Minimal harm or potential for actual harm | 20080801 |
| 20091203 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100105 |
| 20091203 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm | 20100105 |
| 20091203 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20100105 |
| 20091203 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm | 20100105 |
| 20100223 | Health | Pharmacy Service Deficiencies | Properly mark drugs and other similar products. | Widespread | Minimal harm or potential for actual harm | 20100326 |
| 20100223 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20100326 |
| 20100504 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20100521 |
| 20100504 | Health | Quality Care Deficiencies | Make sure that each resident's nutritional needs were met. | Isolated | Minimal harm or potential for actual harm | 20100521 |
| 20100504 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm | 20100521 |
| 20100826 | Health | Mistreatment Deficiencies | Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm | |
| 20100826 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Pattern | Minimal harm or potential for actual harm | |
| 20100826 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | |
| 20100826 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | |
| 20100826 | Health | Quality Care Deficiencies | Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Minimal harm or potential for actual harm | |
| 20100826 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 83 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 97 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 7 | |
| Percent of long-stay residents who have moderate to severe pain: | 0 | |
| Percent of high-risk long-stay residents who have pressure sores: | 8 | |
| Percent of low-risk long-stay residents who have pressure sores: | 3 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 5 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 60 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 12 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 1 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 7 | |
| Percent of long-stay residents who had a urinary tract infection: | 14 | |
| Percent of long-stay residents who lose too much weight: | 14 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 64 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 86 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 11 | |
| Percent of short-stay residents who have pressure sores: | 8 | |
| # of Residents: | 126 |
| # RN Hours per Resident: | 0.72 |
| # LPN Hours per Resident: | 0.83 |
| # CNA Hours per Resident: | 1.99 |
| Total Staff Hours per Resident: | 1.55 |
