C76

EBEN EZER LUTHERAN CARE CENTER

Grade C 76/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
2/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

125

Ownership

Non profit - Corporation

Total Fines

$26,832

Last Survey

N/A

122 HOSPITAL RD, BRUSH, CO 80723
9708422861

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.56h
LPN
0.80h
CNA
2.95h
Total
4.30h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

EBEN EZER LUTHERAN CARE CENTER

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 1966

BASS, SONYOU

IndividualCORPORATE DIRECTORSince Jul 2024

CHAPIN, ROBERT

IndividualCORPORATE DIRECTORSince Jul 2024

FRASIER, MARK

IndividualCORPORATE DIRECTORSince Jul 2024

LEE, MICHAEL

IndividualCORPORATE DIRECTORSince Jul 2024

LEFEVER, TRAVIS

IndividualCORPORATE DIRECTORSince Jul 2024

SCHAEFER, ROGER

IndividualCORPORATE DIRECTORSince Jul 2024

TEKRONEY, MICHAEL

IndividualCORPORATE DIRECTORSince Jul 2024

THISTLE, JENNIFER

IndividualCORPORATE DIRECTORSince Jul 2024

VANNOY, DOUGLAS

IndividualCORPORATE DIRECTORSince Jul 2024

HERGENRETER, SHELLY

IndividualCORPORATE OFFICERSince Jul 2005

MASON, LESLIE

IndividualCORPORATE OFFICERSince Jun 2011

HERGENRETER, SHELLY

IndividualW-2 MANAGING EMPLOYEESince Sep 2007

MASON, LESLIE

IndividualW-2 MANAGING EMPLOYEESince Jun 2011

Penalties & Fines (1)

$26,832total fines
DateTypeDescriptionAmount
Mar 2, 2023Fine$26,832

Health Inspection Deficiencies (12)

August 15, 2024Health6 deficiencies
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 13, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 7, 2024
0700DMinimal harm, Isolated

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies

Corrected Sep 13, 2024
0730DMinimal harm, Isolated

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Sep 6, 2024
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Sep 13, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 5, 2024
March 2, 2023Health3 deficiencies2 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 30, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 30, 2023
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 14, 2023
November 18, 2021Health3 deficiencies2 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 17, 2021
0744DMinimal harm, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Quality of Life and Care Deficiencies

Corrected Dec 17, 2021
0758GActual harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Dec 17, 2021

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Frequently Asked Questions

What is the CareGrader rating for EBEN EZER LUTHERAN CARE CENTER?

EBEN EZER LUTHERAN CARE CENTER in BRUSH, Colorado has a CareGrader grade of C (Average), with a composite score of 76 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for EBEN EZER LUTHERAN CARE CENTER?

EBEN EZER LUTHERAN CARE CENTER has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does EBEN EZER LUTHERAN CARE CENTER have?

EBEN EZER LUTHERAN CARE CENTER has 12 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has EBEN EZER LUTHERAN CARE CENTER been fined?

Yes. EBEN EZER LUTHERAN CARE CENTER has $26,832 in total fines from CMS enforcement actions across 1 penalty.

How many beds does EBEN EZER LUTHERAN CARE CENTER have?

EBEN EZER LUTHERAN CARE CENTER has 125 certified beds with approximately 83 current residents (66% occupancy). The facility is located at 122 HOSPITAL RD, BRUSH, Colorado 80723. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.