MISSION SAN MIGUEL NURSING AND REHAB CENTER in COMMERCE CITY, CO is a For profit - Corporation, Medicare Certified, nursing home operating with 83 residents and 95 certified beds. Its legal business name (LBN) is PINNACLE HEALTH FACILITIES XVI, L.P.. This facility has been certified to participate in Medicare and Medicaid programs since February 01, 1994 and has been given a below average rating of 2-Stars. Why is this important? Nursing homes vary in quality of care and services they provide. Medicare assigns a rating based on health inspections, staffing and quality measures. More stars mean better quality of care.
Updated: 01/12/2019 — Compare and see how the quality of care at MISSION SAN MIGUEL NURSING AND REHAB CENTER scored versus its State and National averages.
1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.
2 Agencies that are Medicare Certified are able to participate in Medicare related programs.
• 83 residents
• 95 certified beds
• Participates in Medicare and Medicaid
• Resident Council only - Resident and family councils can help communications with staff. Federal law requires nursing homes to allow councils to be set up by residents and families.
• Automatic sprinklers in all required areas
| Quality rating | |
| Health inspection rating | |
| Staffing rating | |
| Substantiated complaints | 12 |
| Facility reported incidents | None |
| Number of fines | None |
| Number of penalties | 1 |
| Number of payment denials | 1 |
Higher staffing levels in a nursing home may mean better quality care for residents.
| Staffing for 83 residents | Colorado Average | National Average | |
|---|---|---|---|
| Hours by Registered Nurse (RN) per resident per day | 33 minutes | 55 minutes | 41 minutes |
| Hours by Licensed Practial Nurse (LPN & LVN) per resident per day | 28 minutes | 40 minutes | 53 minutes |
| Hours by Certified Nursing Assistant (CNA) per resident per day | 1 hour, 55 minutes | 2 hours, 21 minutes | 2 hours, 20 minutes |
| Physical therapy (PT) staff hours per resident per day | 4 minutes | 7 minutes | 7 minutes |
Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.
Most recent health inspection: Jul 12, 2017
Number of health citations / deficiencies: 10
Health care professionals inspect each nursing home for health and safety violations. - View the latest Medicare Inspection Report
| Measure | Nursing Home | Colorado | Nationwide |
|---|---|---|---|
|
Short-stay residents who self-report moderate to severe pain
The number of residents is too small to report. Call the facility to discuss this quality measure. |
3.1% | 14.3% | 12.8% |
|
Short-stay residents with pressure ulcers that are new or worsened
|
none | 0.7% | 0.9% |
| Short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.5% | 75.5% | 81.8% |
| Short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.2% | 76.7% | 83.3% |
|
Short-stay residents who newly received an antipsychotic medication
The number of residents is too small to report. Call the facility to discuss this quality measure. |
2.0% | 1.6% | 1.9% |
|
Short-stay residents who made improvements in function
The number of residents is too small to report. Call the facility to discuss this quality measure. |
n/a | 68.1% | 68.0% |
|
Long-stay residents whose need for help with daily activities has increased
|
15.7% | 14.8% | 14.9% |
| Long-stay residents who self-report moderate to severe pain | none | 7.5% | 5.7% |
|
High risk long-stay residents with pressure ulcers
|
2.2% | 4.0% | 5.6% |
| Long-stay residents who lose too much weight | 3.9% | 7.0% | 7.0% |
| Low risk long-stay residents who lose control of their bowels or bladder | 34.8% | 48.3% | 48.2% |
|
Long-stay residents with a catheter inserted and left in their bladder
|
1.6% | 1.9% | 1.8% |
| Long-stay residents with a urinary tract infection | 0.3% | 2.3% | 3.0% |
| Long-stay residents who have depressive symptoms | 0.7% | 3.4% | 4.6% |
| Long-stay residents who were physically restrained | none | 0.2% | 0.3% |
| Long-stay residents experiencing one or more falls with major injury | 0.3% | 3.6% | 3.4% |
| Long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.0% | 94.5% | 95.2% |
| Long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% | 90.1% | 93.9% |
| Long-stay residents who received an antipsychotic medication | 32.6% | 14.9% | 15.0% |
| Long-stay residents whose ability to move independently worsened | 14.6% | 16.7% | 18.2% |
|
Long-stay residents who received an antianxiety or hypnotic medication
|
12.5% | 14.3% | 21.6% |