Denver, CO

Health Center At Franklin Park

4-star overall rating with 3-star inspections with $10,082 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1535 Park Ave, Denver, CO

(303) 479-3692

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

86

Certified beds

Average residents

55

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

American Baptist Homes Of The Midwest

Operator or chain grouping

Approved since

1985-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.79

Registered nurse staffing

LPN hours / resident day

0.94

Licensed practical nurse staffing

Aide hours / resident day

2.07

Nurse aide staffing

Weekend hours

3.51

Weekend nurse staffing

RN turnover

31%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
93.5%
6.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.7%
5.3 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.3%
3.4%
1.1 pts better
3.3%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.1%
7.4%
6.3 pts better
11.4%
10.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.0%
5.0%
4 pts better
5.4%
4.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.3%
11.2%
2.1 pts worse
19.6%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 25.8%
20.6%
5.2 pts worse
16.7%
9.1 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 23.9%
15.2%
8.7 pts worse
16.3%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 28.6%
14.6%
14 pts worse
14.9%
13.7 pts worse
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 1.4%
1.5%
0.1 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.2%
22.4%
1.8 pts worse
19.8%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.3%
3.7%
2.4 pts better
5.1%
3.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.9%
76.4%
13.5 pts better
81.7%
8.2 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 4.0%
1.5%
2.5 pts worse
1.6%
2.4 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

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

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2022-11-03 · Fire 2022-11-03

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-07-29 · Fire 2021-07-29

11 health deficiencies

Top issue: Infection Control (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

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

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-04-11

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-15

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

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-05-13

F · Potential for more than minimal harm 2022-11-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-12-20

F · Potential for more than minimal harm 2022-11-03

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-17

F · Potential for more than minimal harm 2022-11-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-17

F · Potential for more than minimal harm 2022-11-03

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-12-20

F · Potential for more than minimal harm 2022-11-03

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-12-20

F · Potential for more than minimal harm 2021-07-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-01-17

F · Potential for more than minimal harm 2021-07-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-02-11

F · Potential for more than minimal harm 2021-07-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-09-30

F · Potential for more than minimal harm 2021-07-29

K521 · Services Deficiencies

Fire Safety

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

Corrected 2021-10-11

D · Potential for more than minimal harm 2021-07-29

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 2021-09-30

D · Potential for more than minimal harm 2021-07-29

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-09-30

Inspection history

Recent health citations

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-28

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

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-28

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

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-28

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

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-03-28

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

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-28

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

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 2024-03-28

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

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-03-28

F · Potential for more than minimal harm 2023-08-31

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-09-29

F · Potential for more than minimal harm 2023-08-31

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-09-29

F · Potential for more than minimal harm 2023-08-31

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-10-23

E · Potential for more than minimal harm 2023-08-31

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 2023-09-29

E · Potential for more than minimal harm 2023-08-31

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-08-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-29

E · Potential for more than minimal harm 2023-03-30

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-04-30

E · Potential for more than minimal harm 2023-03-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-05-08

G · Actual harm 2022-11-03

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 2022-12-14

G · Actual harm 2022-11-03

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-12-02

E · Potential for more than minimal harm 2022-11-03

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-12-02

E · Potential for more than minimal harm 2022-11-03

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2022-12-02

E · Potential for more than minimal harm 2022-11-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-03

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 2022-12-02

F · Potential for more than minimal harm 2021-07-29

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 2021-09-03

D · Potential for more than minimal harm 2021-07-29

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2021-07-21

D · Potential for more than minimal harm 2021-07-29

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-08-26

Penalties and ownership

What sits behind the stars

$10,082 2023-08-31

Fine

Fine · fine $10,082

Fine

$0 2023-08-31

Payment Denial

Payment Denial · denial start 2023-09-29 · 24 days

24 day denial

Ownership

Baptist Home Association Of The Rocky Mountain Inc

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2000-01-01
Allen, Ryan

Corporate Director · Individual

0% 6 facilities 2013-01-01
Blatnik, Andrea

Corporate Officer · Individual

0% 6 facilities 2020-01-01
Davidson, Roger

Corporate Director · Individual

0% 6 facilities 2020-01-01
Ford, Ashley

Corporate Director · Individual

0% 7 facilities 2020-01-01
Hanson, Phillip

Corporate Director · Individual

0% 8 facilities 2013-01-01
Johnson, Dorothy

Corporate Director · Individual

0% 6 facilities 2020-01-01
Johnson, James

Corporate Director · Individual

0% 8 facilities 2020-01-01
Johnson, Lars

Corporate Officer · Individual

0% 5 facilities 2023-06-05
Killian, George

Corporate Director · Individual

0% 6 facilities 2020-01-01
Kotz, Christina

W-2 Managing Employee · Individual

0% 4 facilities 2020-01-01
Neiman, Ruth

Corporate Director · Individual

0% 6 facilities 2020-01-01
Peters, Marshall

Corporate Director · Individual

0% 6 facilities 2013-01-01
Van Der Beek, Bruce

Corporate Director · Individual

0% 6 facilities 2020-01-01
Vanostram, Steven

Corporate Director · Individual

0% 6 facilities 2013-01-01
Vaughn-Gray, Stephanie

Corporate Director · Individual

0% 6 facilities 2020-01-01
Wagoner Ford, Anne

Corporate Director · Individual

0% 6 facilities 2020-01-01
Whitaker, Bruce

Corporate Director · Individual

0% 6 facilities 2013-01-01

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Staffing
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Fines
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#3

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Staffing
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Fines
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