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Hallmark Nursing Center

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About Hallmark Nursing Center

General Information

Legal Business NameHallmark Nursing Operations LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 17, 1986 (31 years)
Capacity143
Residents117
Percent Occupied82%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsNone
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Hallmark Nursing Center

Hallmark Nursing Center
was reviewed by Medicare to have a rating of 3 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 25, 2016 - 5 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth 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 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.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

August 4, 2016 - 8 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$12,708 fine
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaintProvide timely notification to the resident before transfer or discharge.
DFewPotential for HarmComplaintProvide written records when a resident is transferred or discharged.

April 4, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing.

August 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,950 fine
GFewActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
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 InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
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 InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

September 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+InspectionProvide or obtain dental services for each resident.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+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 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.
DFewPotential 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+InspectionGive each resident enough fluids to keep them healthy and prevent dehydration.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Hallmark 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.

1hr 55min
2hr 30min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
55min
1hr
ReportedExpected
RN
3hr 45min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

94.7%
94.6%
94.6%
94.6%
92.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.4%
93.4%
91.3%
90.0%
89.1%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
74.4%
51.0%
54.9%
50.0%
48.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of low risk long-stay residents who lose control of their bowels or bladder
7.8%
11.8%
10.5%
8.5%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who received an antianxiety or hypnotic medication
10.4%
5.8%
14.8%
25.1%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents whose ability to move independently worsened
16.8%
16.3%
15.7%
14.3%
14.9%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who received an antipsychotic medication
10.7%
8.0%
8.0%
14.8%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents whose need for help with daily activities has increased
6.1%
10.2%
6.4%
3.9%
9.2%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who self-report moderate to severe pain
4.0%
10.9%
4.9%
5.2%
7.2%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who lose too much weight
4.4%
2.3%
5.9%
2.5%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of high risk long-stay residents with pressure ulcers
3.9%
2.9%
2.0%
2.2%
4.3%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who have depressive symptoms
3.0%
5.9%
6.8%
6.2%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents with a urinary tract infection
1.9%
2.8%
1.9%
3.0%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents experiencing one or more falls with major injury
2.1%
0.9%
1.0%
0.9%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.9%
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

79.7%
73.8%
80.8%
88.9%
75.0%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.0%
86.1%
86.1%
86.1%
74.3%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
50.9%
63.5%
74.4%
83.1%
65.3%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents who made improvements in function
10.8%
9.0%
3.3%
9.2%
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
2.4%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
1.0%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of short-stay residents with pressure ulcers that are new or worsened