Ordway, CO

Crowley County Nursing Center

4-star overall rating with 3-star inspections with 7 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

401 Idaho Ave, Ordway, CO

(719) 267-3561

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

44

Certified beds

Average residents

37

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1993-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing

LPN hours / resident day

0.55

Licensed practical nurse staffing

Aide hours / resident day

2.30

Nurse aide staffing

Weekend hours

3.14

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.5
1.3
0.2 pts worse
1.9
0.4 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
1.7
0.9 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.4%
93.5%
8.1 pts worse
93.4%
8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
94.7%
2.8 pts better
95.5%
2 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
3.4%
0.8 pts better
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 6.9%
7.4%
0.5 pts better
11.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.8%
5.0%
1.2 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.8%
11.2%
0.6 pts worse
19.6%
7.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 22.4%
20.6%
1.8 pts worse
16.7%
5.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 5.2%
15.2%
10 pts better
16.3%
11.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 3.9%
14.6%
10.7 pts better
14.9%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.8%
0.8 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.7%
1.5%
0.8 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.9%
22.4%
10.5 pts better
19.8%
7.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.0%
3.7%
3.7 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 8.8%
76.4%
67.6 pts worse
81.7%
72.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-27 · Fire 2024-02-27

7 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2019-10-11 · Fire 2019-10-11

7 health deficiencies

Top issue: Infection Control (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2018-09-12 · Fire 2018-09-12

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-27

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-02-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-02-27

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-02-27

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-02-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-02-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-27

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-27

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-15

E · Potential for more than minimal harm 2024-02-27

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-04-30

E · Potential for more than minimal harm 2024-02-27

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-04-30

D · Potential for more than minimal harm 2019-10-11

K233 · Egress Deficiencies

Fire Safety

Install resident room doors of proper design and width.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-11

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-10-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-11-22

D · Potential for more than minimal harm 2019-10-11

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-11-22

D · Potential for more than minimal harm 2018-09-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2018-10-22

D · Potential for more than minimal harm 2018-09-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-10-22

D · Potential for more than minimal harm 2018-09-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-10-22

D · Potential for more than minimal harm 2018-09-12

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2018-10-22

D · Potential for more than minimal harm 2018-09-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-10-22

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-02-27

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-02-27

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-02-27

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-27

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-27

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-27

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-27

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-03-25

E · Potential for more than minimal harm 2023-04-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-21

J · Immediate jeopardy 2019-10-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-11-15

G · Actual harm 2019-10-11

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2019-11-07

F · Potential for more than minimal harm 2019-10-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-11-07

D · Potential for more than minimal harm 2019-10-11

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2019-11-30

D · Potential for more than minimal harm 2019-10-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-11-13

D · Potential for more than minimal harm 2019-10-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-11-07

D · Potential for more than minimal harm 2019-10-11

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2019-11-07

F · Potential for more than minimal harm 2018-09-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2018-10-05

F · Potential for more than minimal harm 2018-09-12

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2018-10-05

E · Potential for more than minimal harm 2018-09-12

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2018-10-05

E · Potential for more than minimal harm 2018-09-12

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2018-10-08

Penalties and ownership

What sits behind the stars

Ownership

Arbuthnot, Blaine

Corporate Officer · Individual

0% 1 facilities 2004-11-24
Neely, Jerry

Corporate Officer · Individual

0% 1 facilities 2004-11-24
Summers, Jeremy

Corporate Officer · Individual

0% 2 facilities 2023-01-05
Summers, Jeremy

Contracted Managing Employee · Individual

0% 2 facilities 2023-01-05

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