Pavilion At Villa Pueblo, The

Pavilion At Villa Pueblo, The - PUEBLO, CO

855 HUNTER DR, PUEBLO, CO 81001

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PAVILION AT:

PAVILION AT

has been placed on our NHAA Watchlist for the following:

Actual Harm Findingsi

In 9 separate written deficiencies, state nursing home surveyors found that PAVILION AT caused ACTUAL HARM to residents (from June 9, 2010 to September 1, 2022).

All Surveys:   2013-04-10   2012-12-04   2010-06-09   2018-04-25   2021-06-09   2022-09-01

Worst Nursing Home Ratingsi

PAVILION AT received the worst ratings for the following:

1-star out of 5
23 months total between January, 2014 and November, 2015

Source - These ratings are published monthly by CMS (Centers for Medicare and Medicaid Services)

History of Unsafe Staffingi

Understaffing has a very human cost, not only to the dignity of nursing home residents but also to their basic safety and well-being. Click here for signs and symptoms of understaffing.

Understaffing has been determined to cause patient injury and deprive residents of essential care according to numerous scientific studies.

What is unsafe CNA staffing?

Below 2.0 hours of CNA time for each resident per day

"Less than 2.0 nurse aide hours per patient day is likely to result in poor care."

- CMS Report to Congress

What is inadequate CNA staffing?

Below 2.8 hours of CNA time for each resident per day

"Residents need a minimum of 2.80 hours of CNA care per day for safety and basic services.

- Institute of Medicine’s Keeping Patients Safe, 2004, and American Nurses Association’s Position Statement dated November 12, 2014

What is inadequate overall staffing?

Below 4.1 hours of RNs, LPNs, and CNAs time for each resident per day

"Residents need a minimum total of 4.10 hours of care from RNs, LPNs, and CNAs per day for safety and basic services.

- American Nurses Association’s Position Statement dated November 12, 2014

Was PAVILION AT staffed at Unsafe levels?:

Days staffed below 2.0 hours of CNA time for each resident per day In 2022: 47.7%
174 days
out of 365 days
In 2021: 61.6%
225 days
out of 365 days
In 2020: 67.8%
248 days
out of 366 days
In 2019: 30.1%
110 days
out of 365 days
In 2018: 17.5%
64 days
out of 365 days
In 2017: 9%
33 days
out of 365 days
Average CNA care
per resident per day
In 2022: 2.00 hours
January 1, 2022 to December 31, 2022
(Below 2.0 hours is unsafe)
In 2021: 1.89 hours
January 1, 2021 to December 31, 2021
(Below 2.0 hours is unsafe)
In 2020: 1.73 hours
January 1, 2020 to December 31, 2020
(Below 2.0 hours is unsafe)
In 2019: 2.10 hours
January 1, 2019 to December 31, 2019
(Below 2.0 hours is unsafe)
In 2018: 2.20 hours
January 1, 2018 to December 31, 2018
(Below 2.0 hours is unsafe)
In 2017: 2.37 hours
January 1, 2017 to December 31, 2017
(Below 2.0 hours is unsafe)
Average overall care
per resident per day
In 2022: 3.46 hours
of overall care per resident per day
(January 1, 2022 to December 31, 2022)
In 2021: 3.43 hours
of overall care per resident per day
(January 1, 2021 to December 31, 2021)
In 2020: 3.26 hours
of overall care per resident per day
(January 1, 2020 to December 31, 2020)
In 2019: 3.69 hours
of overall care per resident per day
(January 1, 2019 to December 31, 2019)
In 2018: 3.78 hours
of overall care per resident per day
(January 1, 2018 to December 31, 2018)
In 2017: 4.07 hours
of overall care per resident per day
(January 1, 2017 to December 31, 2017)

Source — Payroll Based Journal daily staffing reports filed by this nursing home with CMS.
(For 2018, the most currently avaliable data is used above.)

Why do staffing levels matter to PAVILION AT residents?

  • 100.0% of residents needed assistance transferring from bed and/or wheelchair
  • 97.6% of residents need assistance with toileting and/or incontinent care
  • 61.4% of residents confined to wheelchair and/or bed
  • 43.4% of residents had dementia

Source -- Most recently published Resident Characteristics data (Form 672) submitted by this nursing home to CMS. (November 3, 2016)

Your Experience Matters

...and we want to hear it.

NHAA is here to assist families, residents, and the community by sounding the alarm on issues like those found above. Please give us a call or fill complete our form detailing your experience. If you are struggling and upset, CLICK HERE to understand your options.

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