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Cedarwood Health Care Center

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About Cedarwood Health Care Center

General Information

Legal Business NameSsc Colorado Springs Cedarwood Operating Company LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1981 (36 years)
Capacity83
Residents73
Percent Occupied88%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Cedarwood Health Care Center

Cedarwood Health Care 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

October 11, 2016 - 9 months 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 InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionMaintain comfortable and safe temperature levels.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
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.
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
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.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

September 15, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$5,753 fine
JFewImmediate JeopardyComplaint+InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
FManyPotential for HarmHealth InspectionUse a registered nurse at least 8 hours a day, 7 days a week.
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
FManyPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FManyPotential for HarmComplaint+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.
FManyPotential for HarmComplaint+InspectionProtect each resident from all abuse, physical punishment, and involuntary separation from others.
ESomePotential for HarmHealth InspectionHave enough outside ventilation via a window or mechanical ventilation, or both.
ESomePotential for HarmComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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.
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.
DFewPotential for HarmComplaint+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 HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
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 InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.

March 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$3,000 fine
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintConduct initial and periodic assessments of each resident's functional capacity.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cedarwood Health Care 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 10min
2hr 10min
ReportedExpected
CNA
30min
40min
ReportedExpected
LPN
40min
1hr 5min
ReportedExpected
RN
2hr 15min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 1min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

47.8%
84.7%
84.7%
84.7%
92.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
41.8%
55.7%
63.3%
67.7%
89.1%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
30.6%
47.7%
44.4%
36.5%
48.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of low risk long-stay residents who lose control of their bowels or bladder
27.6%
29.1%
28.6%
27.4%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who received an antianxiety or hypnotic medication
13.0%
12.3%
18.8%
13.5%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents whose ability to move independently worsened
29.8%
26.9%
33.3%
28.3%
14.9%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who received an antipsychotic medication
16.1%
16.4%
23.2%
4.9%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents whose need for help with daily activities has increased
22.4%
7.5%
3.6%
4.5%
9.2%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who self-report moderate to severe pain
3.0%
4.9%
8.6%
7.7%
7.2%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who lose too much weight
3.0%
3.6%
4.0%
6.9%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
4.3%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who have depressive symptoms
1.5%
3.3%
1.7%
0.0%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents with a urinary tract infection
1.5%
3.3%
1.7%
3.1%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents experiencing one or more falls with major injury
1.7%
0.0%
0.0%
0.0%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

54.2%
82.0%
77.8%
75.5%
75.0%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.0%
78.0%
78.0%
78.0%
74.3%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
65.3%
Q4 2015Q1 2016Q2 2016Q3 2016CO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
20.0%
42.4%
25.0%
11.1%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents who self-report moderate to severe pain
4.2%
-
4.3%
-
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
4.7%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents with pressure ulcers that are new or worsened