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St Andrews Village-Ltc

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About St Andrews Village-Ltc

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 5, 2007 (10 years)
Capacity58
Residents48
Percent Occupied83%
Program ParticipationMedicare
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for St Andrews Village-Ltc

St Andrews Village-Ltc
was reviewed by Medicare to have a rating of 4 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

November 6, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

October 8, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,950 fine
GFewActual 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.
GFewActual HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

December 26, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of St Andrews Village-Ltc 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 40min
2hr 15min
ReportedExpected
CNA
1hr 20min
35min
ReportedExpected
LPN
1hr 25min
1hr 10min
ReportedExpected
RN
5hr 25min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 3hr 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

-
73.3%
73.3%
94.5%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
90.0%
91.0%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
49.8%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
20.0%
15.8%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
-
15.4%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
10.2%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
0.0%
8.3%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
4.4%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
0.0%
4.4%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
3.3%
4.1%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
3.3%
3.8%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
4.5%
3.6%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
0.0%
0.8%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

91.2%
85.8%
92.4%
76.2%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Pneumococcal Vaccine
66.4%
63.5%
63.5%
77.6%
Q1 2015Q2 2015Q3 2015CO
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
28.9%
29.3%
24.1%
19.9%
Q1 2015Q2 2015Q3 2015CO
Self Report Moderate to Severe Pain
1.5%
2.6%
2.8%
1.8%
Q1 2015Q2 2015Q3 2015CO
Newly Received an Antipsychotic Medication
0.0%
1.4%
2.2%
1.0%
Q1 2015Q2 2015Q3 2015CO
With Pressure Ulcers That Are New or Worsened