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Cherry Creek Nursing Center

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About Cherry Creek Nursing Center

General Information

Legal Business NameNexion Health At Cherry Creek, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 2, 1977 (40 years)
Capacity218
Residents186
Percent Occupied85%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cherry Creek Nursing Center

Cherry Creek Nursing Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Colorado Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

March 11, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of highly flammable decorations.
ESomePotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionA written emergency evacuation plan.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

February 16, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$2,275 fine
FManyPotential for HarmComplaint+InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaint+InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmComplaint+InspectionEnsure 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.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionKeep all essential equipment working safely.
DFewPotential for HarmComplaint+InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmComplaint+InspectionEnsure 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.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+InspectionProvide clean bed and bath linens that are in good condition.
DFewPotential for HarmComplaint+InspectionConduct initial and periodic assessments of each resident's functional capacity.
BSomePotential for Minimal HarmComplaint+InspectionGive residents a notice of rights, rules, services and charges.
BSomePotential for Minimal HarmComplaint+InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

September 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 9 days
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmComplaintProvide food in a way that meets a resident's needs.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintProvide activities to meet the interests and needs of each resident.

July 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .

April 14, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

January 16, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
ESomePotential for HarmFire Safety InspectionRestrictions on the use of flammable curtains.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionRestrictions on the use of highly flammable decorations.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.

December 20, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmComplaint+InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
ESomePotential for HarmHealth InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.
ESomePotential for HarmHealth InspectionBe licensed under State and local laws.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaint+InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionProvide clean bed and bath linens that are in good condition.
ESomePotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmComplaint+InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionKeep complete, dated laboratory records in the resident's file.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionProvide bedrooms that don't allow residents to see each other when privacy is needed.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmHealth InspectionGive or get specialized rehabilitative services per the patient's assessment or plan of care.
BSomePotential for Minimal HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

December 17, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 50 days
---Fine$8,750 fine

May 6, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,950 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cherry Creek Nursing Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 25min
2hr 25min
ReportedExpected
CNA
1hr
40min
ReportedExpected
LPN
50min
1hr 15min
ReportedExpected
RN
4hr 15min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

96.4%
95.6%
95.6%
94.5%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Seasonal Influenza Vaccine
99.4%
99.4%
99.4%
91.0%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Pneumococcal Vaccine
47.0%
44.8%
63.0%
49.8%
Q1 2015Q2 2015Q3 2015CO
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.0%
16.8%
11.5%
15.8%
Q1 2015Q2 2015Q3 2015CO
Received an Antipsychotic Medication
28.7%
16.9%
10.9%
15.4%
Q1 2015Q2 2015Q3 2015CO
Need for Help with ADLs has Increased
3.8%
2.9%
10.9%
10.2%
Q1 2015Q2 2015Q3 2015CO
Self Report Moderate to Severe Pain
9.6%
8.2%
10.4%
8.3%
Q1 2015Q2 2015Q3 2015CO
Lose Too Much Weight
8.2%
5.2%
6.5%
4.4%
Q1 2015Q2 2015Q3 2015CO
High Risk Residents With Pressure Ulcers
4.6%
5.3%
4.5%
4.4%
Q1 2015Q2 2015Q3 2015CO
Have Depressive Symptoms
5.4%
4.4%
8.6%
4.1%
Q1 2015Q2 2015Q3 2015CO
With a Urinary Tract Infection
1.8%
1.9%
1.8%
3.8%
Q1 2015Q2 2015Q3 2015CO
Experiencing One or More Falls with Major Injury
4.8%
5.7%
2.7%
3.6%
Q1 2015Q2 2015Q3 2015CO
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.8%
Q1 2015Q2 2015Q3 2015CO
Were Physically Restrained

Quality Measures for Short Stay Residents

91.4%
93.3%
86.4%
76.2%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Pneumococcal Vaccine
93.7%
88.0%
88.0%
77.6%
Q1 2015Q2 2015Q3 2015CO
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
25.8%
20.0%
21.8%
19.9%
Q1 2015Q2 2015Q3 2015CO
Self Report Moderate to Severe Pain
2.3%
2.0%
2.2%
1.8%
Q1 2015Q2 2015Q3 2015CO
Newly Received an Antipsychotic Medication
0.5%
1.9%
2.0%
1.0%
Q1 2015Q2 2015Q3 2015CO
With Pressure Ulcers That Are New or Worsened