SOUTH VALLEY POST ACUTE REHABILITATION

DENVER, CO · 106 beds · For profit - Corporation

62 Trust Score
Grade: C MEDIUM Risk → Stable

Red Flags

  • No standard inspection in over 2 years
  • 3 citation(s) where residents suffered actual harm

Green Flags

  • 5-star health inspection rating
  • Below-average deficiency count (1 vs 9 state avg)
  • No fines or penalties on record

Quick Facts

★★★★★
CMS Overall
★★★★★
Health Inspection
1
0.1x state avg
Deficiencies
$0
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

May 15, 2024

2 deficiencyies
F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

November 12, 2023

2 deficiencyies
F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

September 7, 2022

4 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

February 26, 2020

12 deficiencyies
F0604 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0679 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0684 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0697 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0698 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate dialysis care/services for a resident who requires such services.

F0725 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0726 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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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.

F0742 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

See full violation history →

Staffing

0.60
RN hrs/res/day
0.81
LPN hrs/res/day
2.37
CNA hrs/res/day
3.43
Weekend hrs/res/day
40%
Total nurse turnover
43%
RN turnover

A nurse checks on each resident roughly every 6.3 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Corporation Chain: THE ENSIGN GROUP
  • ENDURA HEALTHCARE LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/15/2020

    100% Organization
  • THE ENSIGN GROUP, INC.

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 06/18/2014

    100% Organization
  • KARE TECHNOLOGIES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2021

    Organization
  • HORTON, CHRISTOPHER

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2021

    Individual
  • WILSON, HUNTER

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2020

    Individual
  • JORGENSEN, DAVID

    CORPORATE DIRECTOR

    Since since 12/15/2020

    Individual
  • BURNAM, SOON

    CORPORATE OFFICER

    Since since 12/15/2020

    Individual
  • GRAHAM, JOSEPH

    CORPORATE OFFICER

    Since since 09/20/2024

    Individual
  • KEETCH, CHAD

    CORPORATE OFFICER

    Since since 03/01/2011

    Individual
  • SATO, AMI

    CORPORATE OFFICER

    Since since 09/09/2024

    Individual

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