Ara at the Pinery

A revisit survey was completed on 4/2/26 for all previous deficiencies cited on 12/30/25. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A relicensure survey was completed on 12/30/25. Deficiencies were cited. Based on observations and interviews, the residence failed to comply with the Colorado Clean Indoor Air Act (CCIAA), affecting 5 current residents.Findings Include:An environmental tour of the residence on 12/30/25 at 8:00 a.m. revealed cigarette ash on the handrail of the ramp on the front porch, less than one foot from the door. Additionally, the cigarette butt receptacle on the back deck was less than 10 feet from the door.On 12/30/25 at 10:30 a.m., the administrator reminded two residents who were going out to smoke on the back deck that they needed to smoke further down the deck away from the door.On 12/30/25 at 1:40 p.m., Resident #2 was observed smoking less than 10 feet from the rear entrance of the residence.On 12/30/25 at 4:00 p.m., the administrator agreed that this was a deficient practice. Based on records review and interviews, the residence failed to have written agreements with other health facilities and/or community agencies in the event relocation of residents became necessary, affecting 5 current residents.Findings Include:Review of the residence' s emergency policies, procedures, and plans revealed that the residence failed to have a written agreement with other health facilities or community agencies in the event relocation of residents became necessary.On 12/30/25 at approximately 10:30 a.m., the administrator stated that the residence did not have written agreements with other facilities because the facilities to which they would relocate residents are the sister communities, and it would simply involve her signing the agreement with herself, as she is the administrator for all the sister communities.On 12/30/25 at 4:00 p.m., the administrator agreed that not having a written agreement was a deficient practice. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised that it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.10.9 Each kit shall include, at a minimum, the following items:(A) Latex free disposable gloves,(B) Scissors,(C) Adhesive bandages,(D) Bandage tape,(E) Sterile gauze pads,(F) Flexible roller gauze,(G) Triangular bandages with safety pins,(H) A note pad with a pen or pencil,(I) A CPR barrier device or mask, and(J) Soap or waterless hand sanitizer.10.11 There shall be at least one telephone, not powered by household electrical current, in the assisted living residence available for immediate emergency use by staff, residents, and visitors. Contact information for police, fire, ambulance [911, if applicable] and poison control center shall be readily accessible to staff.

A recertification survey was completed on 12/30/25. Deficiencies were cited. Based on observations and interviews, the facility (residence) failed to comply with the Colorado Clean Indoor Air Act (CCIAA), affecting 5 current members (residents).Findings Include:An environmental tour of the residence on 12/30/25 at 8:00 a.m. revealed cigarette ash on the handrail of the ramp on the front porch, less than one foot from the door. Additionally, the cigarette butt receptacle on the back deck was less than 10 feet from the door.On 12/30/25 at 10:30 a.m., the administrator reminded two residents who were going out to smoke on the back deck that they needed to smoke further down the deck away from the door.On 12/30/25 at 1:40 p.m., Resident #2 was observed smoking less than 10 feet from the rear entrance of the residence.On 12/30/25 at 4:00 p.m., the administrator agreed that this was a deficient practice. Based on records review and interviews, the facility (residence) failed to establish and maintain policies and procedures related to contingency planning. Specifically, written agreements with other health facilities and/or community agencies in the event of relocation of members (residents) became necessary, affecting 5 current residents.Findings Include:Review of the residence' s emergency policies, procedures, and plans revealed that the residence failed to have a written agreement with other health facilities or community agencies in the event relocation of residents became necessary.On 12/30/25 at approximately 10:30 a.m., the administrator stated that the residence did not have written agreements with other facilities because the facilities to which they would relocate residents are the sister communities, and it would simply involve her signing the agreement with herself, as she is the administrator for all the sister communities.On 12/30/25 at 4:00 p.m., the administrator agreed that not having a written agreement was a deficient practice.

A revisit survey was completed on 3/12/24 for all previous deficiencies cited on 12/9/22. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally