Canyon View Care Center

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Quality of Life and Care Deficiencies

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

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

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

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Nursing and Physician Services Deficiencies

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

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Smoke Deficiencies

Provide properly protected cooking facilities.

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

A survey for Incident #1926519 and Incident #2564176 was conducted on 8/12/25 and 8/13/25. One deficiency was cited. Based on record review and interviews, the facility failed to ensure two (#2 and #3) of three residents reviewed for abuse out of three sample residents were kept free from abuse.Specifically, the facility failed to protect Resident #2 and Resident #3 from physical abuse by Resident #1. Findings include:I. Facility policy and procedureThe Abuse policy, revised 2/29/24, was provided by the nursing home administrator (NHA) on 8/14/25 at 10:29 a.m. It read in pertinent part,“Residents have the right to be free from abuse. This includes but is not limited to freedom from physical abuse.“Providing a safe environment for the residents is one of the most basic and essential duties of our facility. Employees have a unique position of trust with vulnerable residents. This facility promotes an atmosphere of sharing with residents and staff without fear of retribution. Residents must not be subjected to abuse by anyone, including but not limited to other residents. “Identification of abuse shall be the responsibility of every employee.”II. Physical abuse by Resident #1 towards Resident #3 on 5/28/25A. Facility investigationThe 5/28/25 facility abuse investigation documented that at 10:00 a.m. two female residents (Resident #1 and Resident #3) were in the hallway in the secured dementia unit. The nursing staff were providing medications and care to other residents when the staff heard someone yell, “Hey!” The staff immediately checked and saw that one female resident (Resident #1) was reaching toward and hitting another female resident (Resident #3) in the chest. The staff immediately separated both residents. The investigation documented Resident #3 had two superficial abrasions on her chest with slight redness. Resident #3 was unable to recall the incident. The investigation documented Resident #1 said Resident #3 was “after her.” Both residents were placed on increased supervision and were in line of sight when they left their rooms. The investigation documented a summary of the staff interviews revealed Resident #3 was agitated prior to the incident and she was u..

A complaint survey, prompted by #CO39784 and #CO39788 was conducted on 4/28/25 to 4/29/25. One deficiency was cited. Based on observations, record review and interviews, the facility failed to maintain an effective pest control program so the environment was free of pests.Specifically, the facility failed to prevent and take adequate measures to eliminate mice within the facility.Findings include: I. Professional references According to the State Board of Health Colorado Retail Food Establishment Rules and Regulations (revised 3/16/24) retrieved on 5/1/25, read in pertinent part, "The premises shall be maintained free of insects, rodents, and other pests. The presence of insects, rodents, and other pests shall be controlled to eliminate their presence on the premises by:-Routinely inspecting incoming shipments of food and supplies-Routinely inspecting the premises for evidence of pests-Using methods, if pests are found, such as trapping devices or other means of pest control as specified under; and-Eliminating harborage conditions." (Chapter 6)II. Facility policy and procedureThe Pest Control policy and procedure, revised May 2008, was provided by the corporate consultant (CC) on 4/29/25 at 10:12 a.m. The policy read in pertinent part, "This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents."The Pest Control policy and procedure for dietary services, revised October 2022, was provided by the director of nursing (DON) 4/29/25 at 12:45 p.m. The policy read in pertinent part, "A program will be established for the control of insects and rodents for the dining services department. The dining service director coordinates with the director of maintenance to arrange pest control services on a monthly basis, or as needed. All food preparation, service, and storage areas will be monitored regularly for any signs of pest/vermin. The (facility) staff will be notified immediately of any concerns. When applicable, bulk foods will be removed from their original packaging and stored in containers with tight fitted lids."III. ObservationsOn 4/28/25 at 3:31 p.m. two closed container mouse traps were identified on the floor in the ki..

A complaint survey, prompted by #CO37730 and Incident #38015 was completed on 11/13/25 to 11/15/24. One deficiency was cited. Based on observations, record review, and interviews, the facility failed to ensure that one (#1) of three out of six sample residents was kept safe and free from elopement.Resident #1 was admitted to the facility on 8/31/24 with a diagnosis of Parkinson' s disease (a chronic, progressive neurological condition) with dyskinesia (involuntary movements). A wander/elopement risk evaluation, completed upon the resident' s admission on 8/31/24, revealed Resident #1 had no previous elopement attempts and was not at risk for eloping or wandering.Resident #1' s record review revealed the following attempted and successful elopements after admission: On 9/4/24, a progress note revealed Resident #1 left the facility through the South Short Hall emergency exit and was verbally redirected inside.On 9/5/24, Resident #1 was agitated, packed his suitcase, and dragged it to the front door of the facility with his walker. The front door keypad was not armed and Resident #1 exited the facility, fell outside in the grass, and got himself up. He became aggressive when staff attempted to help him up or offered stand-by assistance. After 45 minutes, the resident agreed to sit in a wheelchair and staff transported him back inside the facility.On 9/10/24, Resident #1 displayed restlessness as he paced from one side of the building to the other for over an hour. The resident stated he was bored but refused activities the staff offered. Resident #1 went to the front of the facility and said he was waiting for the bus but it was unclear where he wanted to go. Resident #1 attempted to go out the front door but the keypad was armed which locked the door without the code. The resident walked toward another hallway, saw the emergency exit in the North Hall, exited the facility, and walked toward a bus parked outside the front of the building. The nursing home administrator (NHA) attempted to redirect the resident verbally but he was agitated and got on the bus. The facility called emergency medical services (EMS) for support. EMS arrived and after 20 minutes, R..