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North Star Rehabilitation And Care Community

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About North Star Rehabilitation And Care Community

General Information

Legal Business NamePonderosa Care Communities, A LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 1, 1990 (27 years)
Capacity85
Residents79
Percent Occupied93%
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 North Star Rehabilitation And Care Community

North Star Rehabilitation And Care Community
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

July 21, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

June 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionProperly working alarms on sprinkler valves.
DFewPotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.

June 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
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 InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of North Star Rehabilitation And Care Community 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 45min
2hr 20min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
35min
1hr 5min
ReportedExpected
RN
4hr 15min
4hr 5min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

94.6%
93.7%
93.7%
94.5%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.6%
93.1%
88.3%
91.0%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Pneumococcal Vaccine
29.0%
27.3%
37.8%
49.8%
Q1 2015Q2 2015Q3 2015CO
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.5%
25.0%
20.3%
15.8%
Q1 2015Q2 2015Q3 2015CO
Received an Antipsychotic Medication
22.6%
16.1%
12.5%
15.4%
Q1 2015Q2 2015Q3 2015CO
Need for Help with ADLs has Increased
2.9%
13.8%
15.5%
10.2%
Q1 2015Q2 2015Q3 2015CO
Self Report Moderate to Severe Pain
13.5%
2.8%
3.9%
8.3%
Q1 2015Q2 2015Q3 2015CO
Lose Too Much Weight
2.2%
4.5%
6.7%
4.4%
Q1 2015Q2 2015Q3 2015CO
High Risk Residents With Pressure Ulcers
3.0%
5.8%
12.5%
4.4%
Q1 2015Q2 2015Q3 2015CO
Have Depressive Symptoms
0.0%
1.4%
6.5%
4.1%
Q1 2015Q2 2015Q3 2015CO
With a Urinary Tract Infection
2.7%
2.8%
3.9%
3.8%
Q1 2015Q2 2015Q3 2015CO
Experiencing One or More Falls with Major Injury
19.3%
17.7%
17.8%
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

88.9%
81.8%
72.7%
76.2%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Pneumococcal Vaccine
72.7%
44.4%
44.4%
77.6%
Q1 2015Q2 2015Q3 2015CO
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
36.7%
50.0%
57.1%
19.9%
Q1 2015Q2 2015Q3 2015CO
Self Report Moderate to Severe Pain
-
-
-
1.8%
Q1 2015Q2 2015Q3 2015CO
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015CO
With Pressure Ulcers That Are New or Worsened