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Regent Park Nursing And Rehabilitation

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About Regent Park Nursing And Rehabilitation

General Information

Legal Business NamePinnacle Health Facilities Xvi, L.P.
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 14, 1992 (25 years)
Capacity51
Residents37
Percent Occupied73%
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 Regent Park Nursing And Rehabilitation

Regent Park Nursing And Rehabilitation
was reviewed by Medicare to have a rating of 5 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 29, 2016 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

September 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 13 days
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaint1) 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 HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

November 26, 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.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
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 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 InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide routine and 24-hour emergency dental care for each resident.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Regent Park Nursing And Rehabilitation 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.

35min
2hr 30min
ReportedExpected
CNA
2hr 30min
35min
ReportedExpected
LPN
1hr 25min
55min
ReportedExpected
RN
4hr 30min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.2%
100.0%
100.0%
100.0%
92.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
89.1%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
35.0%
-
10.0%
48.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
25.7%
21.2%
20.6%
18.9%
17.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who received an antianxiety or hypnotic medication
9.3%
10.6%
10.8%
8.5%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents whose ability to move independently worsened
6.1%
12.5%
29.4%
22.2%
14.9%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who received an antipsychotic medication
14.7%
9.1%
9.1%
13.5%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
0.0%
0.0%
0.0%
9.2%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who self-report moderate to severe pain
5.9%
3.0%
0.0%
2.7%
7.2%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who lose too much weight
0.0%
0.0%
0.0%
0.0%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of high risk long-stay residents with pressure ulcers
3.0%
3.3%
0.0%
0.0%
4.3%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents who have depressive symptoms
29.4%
3.0%
5.9%
2.7%
3.5%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents with a urinary tract infection
2.9%
3.0%
2.9%
5.4%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016CO
Percentage of long-stay residents experiencing one or more falls with major injury
4.2%
0.0%
4.0%
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

-
-
-
-
75.0%
Q4 2015Q1 2016Q2 2016Q3 2016CO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
27.3%
-
-
-
74.3%
Q4 2015Q1 2016Q2 2016Q3 2016CO
* The data for this facility for some quarters is unavailable.
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
-
-
-
-
18.8%
Q4 2015Q1 2016Q2 2016Q3 2016CO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
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
-
-
-
-
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016CO
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened