AVANTARA CROWN POINT

Nursing Home Inspector

9398 CROWN CREST BOULEVARD
PARKER, CO 80138
Douglas County
Phone: 720-851-3300
Provider Number: 065405
Last Inspection: 04/20/2017

About the Nursing Home

Number of Beds: 154
Number of Residents: 109
Beds Available: 45
Percent Occupancy: 71%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

28

Facility
17

County
24

CO
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

28

2017
40

2016
81

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

4/20/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 5/23/2017
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 5/23/2017
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 6/14/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 5/23/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 5/23/2017
 
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 5/23/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 5/23/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 5/23/2017
 

4/6/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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. Isolated : Minimal 3 5/20/2016
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 5/20/2016
 
Failed To: Provide activities to meet the interests and needs of each resident. Pattern : Minimal 4 5/20/2016
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 5/20/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 5/20/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 5/20/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 5/20/2016
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 5/20/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/24/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 6/24/2016
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 5/20/2016
 

1/14/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 2/19/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 2/19/2015
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 2/19/2015
 
Failed To: Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated : Minimal 3 2/15/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 2/19/2015
 
Failed To: Provide clean bed and bath linens that are in good condition. Pattern : Minimal 4 2/19/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 2/19/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 2/19/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 2/15/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 2/19/2015
 
Failed To: 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. Pattern : Minimal 4 2/19/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 2/19/2015
 
Failed To: 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. Isolated : Minimal 3 2/19/2015
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 2/19/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 2/19/2015
 
Failed To: Hire sufficient dietary support personnel. Isolated : Minimal 3 2/19/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 2/19/2015
 
Failed To: Provide or obtain dental services for each resident. Isolated : Minimal 3 2/19/2015
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 2/19/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 2/19/2015
 
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 2/19/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 2/19/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

8/26/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/28/2016
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 10/22/2016
 

1/7/2016 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide residents with private access to a telephone. Isolated : Minimal 3 2/11/2016
 
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 2/11/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 2/11/2016
 
Failed To: Provide clean bed and bath linens that are in good condition. Pattern : Minimal 4 2/11/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 2/11/2016
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 2/11/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 2/11/2016
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 2/11/2016
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 2/11/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 2/3/2016
 

9/3/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/30/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg CO State Avg
Number of Residents 109 70.57 73.27
Registered Nurses 0.61 1.15 1.01
Licensed Practical / Vocational Nurses 0.79 0.50 0.64
Certified Nursing Assistants 2.31 2.09 2.36
Total Staff Hours 3.70 3.74 4.01

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% CO State Avg%
of high risk long-stay residents with pressure ulcers 6 4 4
of long-stay residents assessed and appropriately given the pneumococcal vaccine 78 87 89
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 93 93
of long-stay residents experiencing one or more falls with major injury 4 5 3
of long-stay residents who have depressive symptoms 7 6 3
of long-stay residents who lose too much weight 13 11 7
of long-stay residents who received an antianxiety or hypnotic medication 14 17 16
of long-stay residents who received an antipsychotic medication 7 10 14
of long-stay residents who self-report moderate to severe pain 17 10 7
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 28 18 17
of long-stay residents whose need for help with daily activities has increased 21 17 14
of long-stay residents with a catheter inserted and left in their bladder 5 7 2
of long-stay residents with a urinary tract infection 2 3 2
of low risk long-stay residents who lose control of their bowels or bladder 41 41 48
of short-stay residents assessed and appropriately given the pneumococcal vaccine 70 84 75
of short-stay residents who had an outpatient emergency department visit 16 11 12
of short-stay residents who made improvements in function 69 73 67
of short-stay residents who newly received an antipsychotic medication 4 1 1
of short-stay residents who self-report moderate to severe pain 27 17 16
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 66 81 74
of short-stay residents who were rehospitalized after a nursing home admission 18 16 17
of short-stay residents who were successfully discharged to the community 58 69 60
of short-stay residents with pressure ulcers that are new or worsened 0 0 0