Rehabilitation Center At Sandalwood, The faces challenges in its CMS ratings, earning a D grade with a score of 43/100. The facility ranks in the 32th percentile among Colorado nursing homes, suggesting significant room for improvement.
Staffing at Rehabilitation Center At Sandalwood, The is near the national average, with 3.58 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 24 deficiencies at Rehabilitation Center At Sandalwood, The, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develo.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.58 | 3.8 | Average |
| Registered Nurses (RN) | 0.82 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.63 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.14 | 2.4 | Below Average |
| Weekend Total Nursing | 3.22 | 3.8 | Below Average |
| Weekend RN Hours | 0.53 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0756 Severity LEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develoApr 25, 2024 · Pharmacy Service Deficiencies
- Tag 0692 Severity GProvide enough food/fluids to maintain a resident's health.Apr 25, 2024 · Quality of Life and Care Deficiencies
- Tag 0867 Severity FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Apr 25, 2024 · Administration Deficiencies
- Tag 0676 Severity DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Apr 25, 2024 · Quality of Life and Care Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Apr 25, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.0% | 4.5% | Better |
| Falls with major injury | 8.8% | 3.0% | Worse |
| On antipsychotic medication | 6.2% | 14.5% | Better |
| Urinary tract infections | 2.1% | 2.5% | Better |
| ADL decline (daily activities) | 14.4% | 14.0% | Average |
| Excessive weight loss | 2.1% | 7.5% | Better |
| New/worsened incontinence | 23.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $46,150
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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