Brookdale Fort Collins AL (co)

A revisit survey was completed on 2/6/26 for all previous deficiencies cited on 10/14/25. 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 licensure complaint, prompted by #CO41053, was completed on 10/29/25. A deficiency was cited. Based on record review and interview, the residence failed to report an occurrence affecting one former resident (#10).Findings include:1. Reference and Residence Policiesa. Chapter II regulations governing assisted living residences, part 4.2.2, requires that the following occurrences shall be reported to the Department within one business day after the occurrence or when the licensee becomes aware of the occurrence, in the format required by the Department: (A) Any occurrence that results in the death of a client of the facility or agency and is required to be reported to the coroner pursuant to section 30-10-606, C.R.S., as arising from an unexplained cause or under suspicious circumstances.b. According to the Occurrence Reporting Manual, dated May 2018, the residence must report an occurrence to the Department when: "Any occurrence that results in the death of a patient or resident of the facility and is required to be reported to the coroner pursuant to Section 30-10-606, C.R.S., as arising from an unexplained cause or under suspicious circumstances." Section 25-1-124 (2)(a), C.R.S."c. The residence' s "Reportable Events" policy, dated April 2022, read in part that this policy sets out the reporting time frames within Brookdale Senior Living. In addition to the time frames and reporting requirements stated in this policy, the community/agency must adhere to all state-specific, statutory and regulatory reporting requirements and time frames, including, but not limited to, abuse and neglect reporting, reports of hospitalization or death.2. Record ReviewFormer Resident #10 was admitted to the residence on 1/9/24 with diagnoses including dementia, mood disturbance, and atherosclerotic heart disease. The resident' s death investigation regarding Former Resident #10, dated 10/22/25, read in part that "resident (Resident #10) passed away on 10/22/25 at 10:32 a.m." Former Resident #10 "was found in room bedside on the floor unresponsive by QMAP (Staff #3) at 9:40 a.m."An emergency medical services (EMS) report dated 10/22/25 at 9:45 a...

A licensure complaint, prompted by #CO39410, #CO39058, #CO39025, #CO38834 and #CO38328 was completed on 10/14/25. Deficiencies were cited. Based on interviews and record reviews, the residence failed to comply with authorized practitioner' s orders associated with medication administration, affecting two of seven sample residents (#4, #5).(Cross-reference U1600)Findings include:1. Record ReviewResident #5 was admitted to the residence on 2/14/2023 with a diagnosis including hyperlipidemia.Atorvastatin 80 mgA practitioner' s order, dated 7/23/24, directed the residence to administer 80 mg of atorvastatin by mouth daily. The August 2025 medication administration record (MAR) showed a "20 code" for the scheduled medication doses on 8/7, 8/8, 8/10, 8/11, 8/12, and 8/13/25, that indicated the medication was missing and not administered to Resident #5.Aspirin 81 mgA practitioner' s order, dated 4/26/23, dire.. Based on record review and interview, the residence failed to have a roster of current residents readily available, affecting 56 current residents. Findings include:On 10/14/25 at 7:10 a.m., an outdated resident roster was observed in an emergency binder. On 10/14/25 at 7:15 a.m., a current resident roster was requested from the residence. The roster included Former Residents #8-#10; however, the residents no longer resided at the residence. A date at the bottom of the roster read it was updated on 8/18/25. On 10/14/25 at 8:30 a.m., the administrator stated that the staff member responsible for updating the roster had not worked at the residence in over three weeks as of 10/14/25. He acknowledged that the roster was not up to date and that it had not been updated for several weeks. He also stat.. Based on record review and interviews, the residence failed to accurately document each medication administration or monitoring event at the time the event was completed for each resident, affecting three of seven sample residents (#3, #4). (Cross-reference U1568)Findings include:1. Record Review Resident #4 was admitted to the residence on 9/19/24 with a diagnosis including heart failure, hyperlipidemia, obstructive and reflux uropathy.Quetiapine Fumarate 25mgA written practitioner' s order, dated 7/24/25, directed the residence to administer one tablet of 25mg quetiapine fumarate by mouth two times daily. The September 2025 medication administration record (MAR) indicated that the staff had failed to document the medication as administered the even.. 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 2.2.9.4 The licensee shall provide accurate and truthful information to the Department during inspections, investigations, and licensing activities

A revisit survey was completed on 1/14/25 for all previous deficiencies cited on 7/24/24. 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 complaint #CO32214 and #CO35132 was completed on 7/24/24. Deficiencies were cited. Based on interview and record review, the residence failed to ensure the residents right to expect the cooperation of the assisted living residence in achieving the maximum degree of benefit from those services made available by the assisted living residence, affecting four of four sample residents (#5-#8).Findings include:1. Residence PolicyThe Residency Agreement, dated December 2023, read in part that the residence provided services to residents that were detailed in the care plans.The residence' s Resident Rights policy, dated June 2004, read in part that residents rights i.. Based on observation and interview, the residence failed to ensure that residents had the right to privacy and confidentiality, affecting six of six residents residing in double occupancy rooms (#5 and #9).Findings include:1. ObservationsOn 7/23/24, from approximately 2:30 p.m. to 2:50 p.m., an environmental tour revealed Resident #5 occupied a double occupancy room with Resident #10. The was laid out to have a small bedroom area to the right for Resident #10 and straight ahead was another area for Resident #5; the rooms were divided by a curtain. The curtain .. Based on observation, record review, and interview, the residence failed to provide all residents with regular opportunities to participate in structured engagement and support the pursuit of each resident' s interests, affecting 52 current residents.Findings include:1. Residency AgreementThe Residency Agreement, dated December 2023, read in part that the residence provided planned social and recreational programs.2. ObservationsOn 7/23/24 from 7:00 a.m. to 4:00 p.m., the residence did not provide planned social or recreational activities for the residents. Also, on 7/24/.. Based on record review and interview, the residence failed to be responsible for complying with authorized practitioner orders associated with medication administration, affecting three of four current sample residents (#5, #7, and #8).Findings include:1. Resident #7 was admitted to the residence on 1/5/24.a. AtorvastatinA written practitioner' s order, dated 1/20/24, directed the residence to administer atorvastatin tablet 81 mg nightly. However, June 2024 medication administration record (MAR) read that the residence failed to administer the medication from .. Based on record review, observation, and interview, the residence failed to implement their policy and procedure regarding the timeline of destruction and disposal of outdated, unused, and discontinued and/or expired medications that were not returned to the representative or legal guardian, affecting two of four current sample residents who received medication administration services (#5 and #8).Findings include:The residence' s Drug Destruction/Disposal of Medications policy, dated October 2022, read in part that the residence disposed of expired or discontinued medicati.. 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 7.12.1 The assisted living residence shall make available, either directly or indirectly through a resident agreement, the following services, sufficient to meet the needs of the residents: (A) A physically safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical e..