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Mission At Community Living Rehabilitation Center

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About Mission At Community Living Rehabilitation Center

General Information

Legal Business NameGunnison Valley Hospital
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 20, 2010 (6 years)
Capacity46
Residents34
Percent Occupied74%
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 Mission At Community Living Rehabilitation Center

Mission At Community Living Rehabilitation 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 Utah 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

March 17, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential 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 InspectionGive residents a notice of rights, rules, services and charges.

January 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential 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.
ESomePotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Mission At Community Living 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.

2hr 25min
2hr 15min
ReportedExpected
CNA
30min
35min
ReportedExpected
LPN
50min
60min
ReportedExpected
RN
3hr 45min
3hr 50min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

100.0%
97.1%
97.1%
97.1%
93.8%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
97.1%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
49.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
* 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
56.7%
44.0%
48.0%
40.7%
30.5%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who received an antianxiety or hypnotic medication
29.5%
-
-
22.0%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016UT
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
31.2%
21.9%
17.2%
20.0%
17.2%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who received an antipsychotic medication
20.8%
15.0%
19.0%
13.0%
12.0%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents whose need for help with daily activities has increased
36.0%
21.2%
35.3%
33.4%
10.5%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
0.0%
3.8%
8.6%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who lose too much weight
-
-
-
20.0%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016UT
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
3.2%
6.1%
6.9%
0.0%
9.4%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who have depressive symptoms
41.9%
30.0%
23.1%
28.6%
5.4%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents with a urinary tract infection
6.1%
3.0%
3.3%
5.6%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents experiencing one or more falls with major injury
3.7%
8.9%
4.7%
6.0%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

69.6%
88.0%
89.3%
80.8%
91.4%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
34.8%
76.0%
76.0%
76.0%
88.3%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
60.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
-
18.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
4.8%
-
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016UT
* 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%
2.9%
6.8%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016UT
Percentage of short-stay residents with pressure ulcers that are new or worsened