Balfour at Longmont

A complaint survey, prompted by #CO41571 and #CO40316 was completed on 2/18/26. Deficiencies were cited. Based on observation, interview, and record review, the residence failed to ensure the residents had the right to be free from restraint, affecting two of four residents (#2, #4).1. ObservationOn 2/18/2026 at approximately 7:40 a.m., the surveyor observed Resident #2 and Resident #4 in their beds with large blankets, towels, pillows and sheets rolled and stuffed into the edges of the bed sheets around both sides of them in a manner that limited their ability to move freely and prevented normal movement.Resident #2 and #4 were not able to get out of bed when requested by the surveyor due to the barrier restraint.2. InterviewsOn 2/18/26 at 7:40 a.m. the licensed practical nurser (LPN) #2 stat.. Based on observation, record review and interviews, the residence failed to ensure a devices that facilitate a resident' s well-being and/or independence may be used if the resident is able to remove the device to allow for normal movement affecting two of two sample residents (#7 and #8) who used a bed cane. Findings include.1. Resident #7 was admitted to the residence on 11/5/23 with diagnoses including dementia.a. ObservationOn 2/18/26 at approximately 7:45 a.m. during the onsite complaint survey, it was observed there was a bedside cane bolted into to Resident #7' s bed. b. Record Review On 2/18/26 review of Resident #7 record revealed no orders for the use .. Based on record review and interview, the residence failed to ensure personal care workers and their supervisors were trained by appropriately skilled professionals and evaluated for competency prior to providing personal services requiring specialized techniques (sit-to-stand transfer lift), affecting one of three sample residents (#1). Findings include:1. ObservationOn 2/18/26 at 7:48 am, a sit-to-stand device was present/used in the secured environment for resident transfers, indicating residents required assistance with specialized equipment beyond general personal care and activities of daily living. The sit-to-stand was located in Resident #1' s room.2. Record ReviewThe residence provi.. Based on record review and interview, the residence failed to ensure qualified medication administration personnel (QMAP) did not assess residents or use judgment regarding medication effects when administering PRN (as needed) medications, affecting two of two residents (Cross-reference U1526). Findings include:1. Resident #5 was admitted on 3/9/23 with diagnoses including senile degeneration of the brain. Progress notes documented the resident required PRN medications based on staff observation of grimacing/pain and agitation.a. MorphineA practitioner' s order dated 1/26/26, directed the residence to administer morphine sulfate oral solution 100 mg/5mL 0.25 mL every four hours a.. Based on record review and interviews, the residence failed to ensure no medication shall be administered by a qualified medication administration personnel (QMAP) on a PRN (as needed) basis, affecting two of three residents (#5 and #6).Findings include:1. Resident #5 was admitted on 3/9/23 with diagnoses including senile degeneration of the brain. Progress notes documented the resident required PRN medications based on staff observation of grimacing/pain and agitation.An assessment dated 10/10/25 read in part the resident had increased confusion and required full staff assistance with regular redirection and/or reorientation.a. MorphineA practitioner' s order dated 1/26/26 directed th..

A revisit survey was completed on 4/7/25 for all previous deficiencies cited on 11/13/24. 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 with complaints #CO34757, #CO32521, and #CO38265 was completed on 11/13/24. Deficiencies were cited. Based on record review and interview, the residence failed to administer or prepare only medications that were authorized by a practitioner. (Cross-reference S1568)Findings Include:1. Resident #12 was admitted to the residence on 1/8/21 with diagnoses of hypertensive heart disease and unspecified atrial fibrillation.A written practitioner ' s order, dated 1/19/24, directed the residence to hold Eliquis 5 mg for one week and start aspirin 81 mg for six days then change to Eliquis 2.5 mg twice daily on 1/26/24. "A medication administration record (MAR) for January 2024 directed staff to hold eliquis 5 mg per practitioner' s orders for one week and then start Eliquis 2.5 mg. A staff educat.. Based on record review and interview, the residence failed to comply with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers, affecting two of eight current residents (#1, #3). (Cross-reference S1530)Findings Include:1. Resident #3 was admitted to the residence on 4/18/23.A written practitioner' s order, dated 9/23/24, directed the residence to administer atorvastatin 80 mg once daily. However, the November 2024 medication administration record (MAR) read the medication was not available and staff did not administer it on 11/4 and 11/5/24, for a total of two missed doses.2. During the onsite visits on 11/.. Based on record review and interview, the residence failed to contact a resident' s primary practitioner when the resident sustains an injury or accident, experiences a significant change in their baseline status, affecting two former residents (#11, #13). (Cross-reference S1192)Findings include:1. Former Resident #13 was admitted to the residence on 10/27/23.A progress note in Former Resident #13' s record, dated 11/2/24, read at approximately 9:00 p.m. Former Resident #13 was on the floor lying on his left side in the doorway to his bathroom. Former Resident #13 was "conscious but incomprehensible" and took four staff members to move him from the floor to his feet. Former Reside.. Based on record review and interview, the residence failed to ensure staff evaluated a resident who had fallen to determine if the resident could be assisted in a safe manner, such as when the resident had no pain, or there was no change from baseline, affecting one former resident (#13). (Cross-reference S1130)Findings include: 1. Former Resident #13 was admitted to the residence on 10/27/23 with a diagnosis of Alzheimer' s disease.An incident report, dated 11/2/24, read in part: Former Resident #13 was found lying in the doorway to the bathroom. Former Resident #13 was conscious but was incomprehensible. Former Resident #13 was assisted by Staff #5 and three other unknown .. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.7.9 The assisted living residence shall ensure that each staff member and volunteer receives orientation and training, as follows:(A) The assisted living residence shall ensure each staff member or volunteer completes an initial orientation prior to providing any care or services to a resident. Such orientation shall include, at a minimum, all of the following topics:(b) Relevant emergency contact numbers,(f) Practitioner assessment,(g) Serio..