NORTH SHORE HEALTH AND REHAB FACILITY - LOVELAND, CO

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Addresss:

1365 WEST 29TH STREET
LOVELAND, CO, 80538

Phone (make sure to verify first before calling): (970) 667-6111

Number of Certified Beds: 136
Total Number of Residents: 117
Percent of Occupied Beds: 86%
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?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 5 Stars
Health Inspections Star Rating: 4 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 5 Stars

Other nearby hospitals and nursing homes

BANNER HOME CARE COLORADO (2.50 miles)
LOVELAND DIALYSIS (FMC) (1.26 miles)
GOOD SAMARITAN SOCIETY - LOVELAND VILLAGE (3.62 miles)
MCKEE MEDICAL CENTER (2.30 miles)
MOUNTAIN VIEW SURGERY CTR (2.33 miles)
SIERRA VISTA HEALTH CARE CENTER (1.51 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.10

Administrative Staff - Part Time: 0.83

Certified Nurse Aides - Full Time: 48.09

Certified Nurse Aides - Part Time: 13.10

Food Service Personnel - Full Time: 12.31

Food Service Personnel - Part Time: 3.59

Housekeeping Personnel - Full Time: 11.24

Licensed Practical/ Vocational Nurses - Full Time: 9.53

Licensed Practical/ Vocational Nurses - Part Time: 1.31

Medical Directors - Under Contract: 0.11

Mental Health Services Personnel - Under Contract: 0.46

Nurses With Administrative Duties - Full Time: 6.86

Persons Not Included In Any Other Categories - Full Time: 10.16

Physical Therapists - Under Contract: 2.14

Registered Nurses - Full Time: 11.80

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 2.29

Activities Professionals - Full Time: 1.14

Dentists - Under Contract: 0.06

Dietitians - Part Time: 0.80

Nurses With Administrative Duties - Part Time: 0.34

Occupational Therapists - Under Contract: 1.93

Pharmacists - Under Contract: 0.23

Podiatrists - Under Contract: 0.11

Speech Pathologists - Under Contract: 0.50

Nurse Aides In Training - Full Time: 5.40

Other Physicians - Under Contract: 0.06

Physician Extenders - Under Contract: 0.71

Registered Nurses - Under Contract: 0.69

Dietitians - Full Time: 1.14

Persons Not Included In Any Other Categories - Part Time: 1.20

Registered Nurses - Part Time: 2.10

Occupational Therapy Assistants - Under Contract: 0.91

Housekeeping Personnel - Part Time: 0.91

Licensed Practical/ Vocational Nurses - Under Contract: 0.11

Nurse Aides In Training - Part Time: 0.73

Certified Nurse Aides - Under Contract: 0.80

Number Of Beds

Total: 136

Total Certified: 136

For Residents Needing Hospice Services: 7

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Non Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Non Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Non Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Non Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Non Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	1.070
Colorado:	0.914

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.570
State:	0.722

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.640
State:	1.632

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.110
State:	0.109

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.110
Colorado:	0.118

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	22.0%
Colorado:	15.7%

Percent of long-stay residents who self-report moderate to severe pain

Here:	6.5%
State:	12.4%

Percent of long-stay high-risk residents with pressure ulcers

This Nursing Home:	3.0%
Colorado:	5.2%

Percent of long-stay residents who lose too much weight

This Nursing Home:	7.3%
State:	7.7%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	60.0%
Colorado:	46.6%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	2.7%
State:	5.4%

Percent of long-stay residents with a urinary tract infection

Here:	11.8%
State:	7.0%

Percent of long-stay residents who have depressive symptoms

Here:	3.7%
Colorado:	7.1%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	1.8%
Colorado:	4.0%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	100.0%
State:	91.9%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
State:	91.4%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	98.9%
State:	83.9%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	97.9%
Colorado:	78.2%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	2.6%
Colorado:	2.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	17.1%
State:	20.4%

Complaint Deficiency

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure each resident has the right to have a choice over activities, their schedules and health care according to his or her interests, assessment, and plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Reasonably accommodate the needs and preferences of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Corridor and hallway doors that block smoke
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly constructed piped-in oxygen systems
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Determine if it is safe for the resident to self-administer drugs
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide activities to meet the interests and needs of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have an adequate water supply for the sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Record of quarterly fire drills for each shift under varying conditions
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Few

NORTH SHORE HEALTH AND REHAB FACILITY - LOVELAND, CO

Staff Information

Quality Measures

Complaint Deficiency

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