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Pearl Street Health And Rehabilitation Center

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About Pearl Street Health And Rehabilitation Center

General Information

Legal Business NameSsc Englewood Operating Company LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 1, 1985 (32 years)
Capacity81
Residents68
Percent Occupied84%
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 Pearl Street Health And Rehabilitation Center

Pearl Street Health And Rehabilitation 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

January 30, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.

January 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide clean bed and bath linens that are in good condition.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmHealth InspectionMaintain comfortable and safe temperature levels.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth Inspection1) 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.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
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 InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

March 5, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
ESomePotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

February 4, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Pearl Street Health And Rehabilitation 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.

1hr 50min
2hr 20min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
45min
55min
ReportedExpected
RN
3hr 15min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.4%
98.4%
94.5%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
96.8%
95.0%
91.0%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Pneumococcal Vaccine
52.3%
46.8%
62.5%
49.8%
Q1 2015Q2 2015Q3 2015CO
Low Risk Residents Who Lose Control of Their Bowel or Bladder
14.8%
13.6%
17.2%
15.8%
Q1 2015Q2 2015Q3 2015CO
Received an Antipsychotic Medication
9.6%
29.3%
26.8%
15.4%
Q1 2015Q2 2015Q3 2015CO
Need for Help with ADLs has Increased
4.9%
29.9%
4.8%
10.2%
Q1 2015Q2 2015Q3 2015CO
Self Report Moderate to Severe Pain
8.9%
3.2%
1.7%
8.3%
Q1 2015Q2 2015Q3 2015CO
Lose Too Much Weight
8.1%
6.8%
6.2%
4.4%
Q1 2015Q2 2015Q3 2015CO
High Risk Residents With Pressure Ulcers
3.7%
1.8%
0.0%
4.4%
Q1 2015Q2 2015Q3 2015CO
Have Depressive Symptoms
1.8%
1.6%
0.0%
4.1%
Q1 2015Q2 2015Q3 2015CO
With a Urinary Tract Infection
7.0%
11.1%
11.7%
3.8%
Q1 2015Q2 2015Q3 2015CO
Experiencing One or More Falls with Major Injury
1.8%
3.4%
4.9%
3.6%
Q1 2015Q2 2015Q3 2015CO
With a Catheter Inserted and Left in Their Bladder
1.8%
3.2%
3.3%
0.8%
Q1 2015Q2 2015Q3 2015CO
Were Physically Restrained

Quality Measures for Short Stay Residents

81.5%
87.2%
91.7%
76.2%
Q1 2015Q2 2015Q3 2015CO
Assessed and Appropriately Given the Pneumococcal Vaccine
86.9%
81.5%
81.5%
77.6%
Q1 2015Q2 2015Q3 2015CO
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
13.0%
23.5%
18.2%
19.9%
Q1 2015Q2 2015Q3 2015CO
Self Report Moderate to Severe Pain
3.1%
3.8%
0.0%
1.8%
Q1 2015Q2 2015Q3 2015CO
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