Brookdale Fort Collins Mc (co)

A revisit survey was completed on 4/21/26 for all previous deficiencies cited on 12/22/25. 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 #CO39386 and #CO39439, was completed on 12/30/25. Deficiencies were cited. Based on observation, record review and interview, the residence failed to ensure the rights and responsibilities of its residents were observed in the care, treatment and services received in accordance with the resident agreement and the care plan, affecting three of five sample residents (#1-#3) whose care plans were reviewed.Findings include:Resident #2 was admitted to the residence on 8/5/24 with a diagnosis of Alzheimer' s disease. A care plan dated 12/11/25 read in pertinent part, Resident #2 requires direct staff attention or direct physical assistance while eating. On 12/30/25 at approximately 8:00 a.m., Resident #2 was observed in her wheelchair in front of the dining table for breakfast. Resident #2 began chewing on the yellow napkin in front of her instead of eating the bowl of cereal. She then dropped the napkin and leaned over to her side, unable to sit up straight. Resident #2 could not grab any of the silverware and did not eat her breakfast in front of her. Later, she was provided with an omelet, fruit, an.. Based on observations and interviews, the residence failed to make available a physically safe and sanitary environment, affecting 46 current residents.Findings Include:On 12/30/25 at 8:00 a.m., during an environmental tour of the residence, a strong odor of urine was present throughout the dining room. There were food crumbs, empty medication cups, shoes, and snake wrappers on the ground and in the hallways. On 12/30/25 at approximately 10:00 a.m., during a tour of Resident #2' s room, the bathroom had an odor of urine, the toilet had an old urine stain on the seat, and there was toilet paper on the ground. On 12/30/25 at 4:16 p.m., the administrator stated care staff were expected to ensure the day-to-day cleaning was completed, common areas were free of debris, resident rooms and bathrooms were clean, and there was a housekeeper who thoroughly cleaned the building once a week. The administrator further expected the residence to be physically safe and sanitary, and acknowledged that the residenc.. 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 7.14.21 The assisted living residence shall be responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers. 14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident ' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner. (A) The medication administration record shall reflect the name, strength, dosage, and mode of administration of each medication, the date the order was received, the date and time of administration, any special considerations related to administratio..

A revisit survey was completed on 1/28/25 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 #CO30120 was completed on 7/24/24. Deficiencies were cited. Based on observation, interview and record review, the residence failed to ensure that qualified medication administration persons applied nationally recognized protocols for basic infection control when preparing and administering medications affecting one sample resident (#3) and five residents (#9-#13). Findings include:The residence' s handwashing/hand hygiene in secured/memory care policy, dated June of 2022, read in part that, "Associates should carry hand sanitizer bottles in their waist aprons to assist with resident hand hygiene and for perso.. Based on observation, record review, and interview, the residence failed to develop and implement policies and procedures for the identification, reporting, and identification of injuries of unknown origin, affecting 26 current residents.Findings include:1. Residence Policy and Incident Report ExampleThe residence provided the residence' s January 2024 Incident Reporting Policy as the residence' s policy of investigation of identification, reporting, and investigation of injuries of unknown origin. The policy read in part that the residence entered preliminary informatio.. Based on observation, record review, and interview, the residence failed to place notices of planned resident engagement offerings in a central location readily accessible to residents, relatives, and the public and failed to retain copies of the offerings for six months, affecting 26 current residents. Findings include: The Residency Agreement, dated December 2023, read that the residence provided planned social and recreational activities. On 7/23/24, between approximately 7:25 a.m. and 2:00 p.m., the activity director (AD) worked as a qualified medication adminis.. Based on observation, record review, and interview, the residence failed to update a resident care plan that reflected the most current assessment information, promote resident mobility and safety and detail specific service needs along with the staff tasks necessary to meet those needs affecting one sample residents (#3) who experienced falls. Resident #3 fell on 5/11/24, 6/8/24 which resulted in a scrape on his forehead and nose, 6/12/24 which resulted in bruising under the resident' s right eye, 6/14/24, 7/1/24 which resulted in a skin tear, 7/6/24 and 7/16/24 for a total of seve.. Based on observations, record review, and interview, the residence failed to give residents the opportunity to choose where and with whom to sit, affecting 26 current residents.On 7/23/24 and 7/24/24, all residents sat in the same seat for all meals. Care plans for Residents #1-#4 read in part that the residents had assigned seats as follows:Resident #1, dated 1/27/24, at table one in the dining room. Resident #3 care plan, dated 2/23/24, at table 10 in the dining room. Resident #2 care plan, dated 4/30/24, at table four in the dining room. Resident #4 care plan, dated 7/20/24, at tab.. 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 7.14.10 Unless otherwise allowed by statute, the assisted living residence shall not permit a qualifiedmedication administration person to perform any of the following tasks: (I) Masking or deceiving administration of medication including, but not limited to, concealingin food or liquid.14.31 The administrator and t..