| Hallmark Nursing Center | |
| 3701 W Radcliff Ave, Denver, Colorado 80236 | |
| (303) 794-6484 | |
| Name | Hallmark Nursing Center |
|---|---|
| Location | 3701 W Radcliff Ave, Denver, Colorado |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 143 |
| Occupancy Rate | 67.48% |
| Medicare ID (CCN) | 065233 |
| Legal Business Name | Hallmark Nursing Operations LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Life Care Centers of America (194 nursing homes) |
| Chain Average Overall Rating | 3.4 out of 5 |
| NPI Number | 1194130997 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Hallmark Nursing Operations, LLC |
| Doing Business As | Hallmark Nursing Center |
| Address | 3701 W Radcliff Ave, Denver, CO 80236 |
| Phone Number | 303-794-6484 |
| NPI Number | 1588673255 |
| Match | Possible same name, address or phone number |
| Organization Name | Pueblo Medical Investors, LLC |
| Doing Business As | Hallmark Nursing Center |
| Address | 3701 W Radcliff Ave, Denver, CO 80236 |
| Phone Number | 303-794-6484 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.71 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.86 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.71 | 0.86 |
| Nurse aide hours per resident per day | 2.15 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.29 | 3.42 |
| RN hours per resident per day on the weekend | 0.74 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 27.9% | 45.8% |
| Registered nurse turnover | 26.1% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $6,788 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Nov 14, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Feb 6, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2024 |
| Feb 6, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Feb 6, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2024 |
| Oct 5, 2023 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Complaint inspection | Potential for harm, pattern | Corrected by Oct 26, 2023 |
| Oct 17, 2022 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Actual harm, isolated | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2022 |
| Oct 17, 2022 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. F0807, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Nov 15, 2022 |
| Jun 29, 2021 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jul 20, 2021 |
| Jun 29, 2021 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 30, 2021 |
| Jun 29, 2021 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 20, 2021 |
| Jun 29, 2021 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 20, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.79 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.18 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.23 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 9.03 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.68 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.66 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.57 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.83 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.82 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.11 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0.86 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.29 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.75 | 15.38 |
City Park Healthcare and Rehabilitation Center Location: 1667 Saint Paul St, Denver, Colorado 80206 Phone: (303) 399-2040 |