Colorow Health Care LLC

A complaint survey, prompted by #CO2564065, Incident #1939780, Incident #2564255, Incident #2564264, Incident #2569768 and Incident #2569920 was conducted 8/11/25 and 8/12/25. Two deficiencies were cited. Based on record review and interviews, the facility failed to ensure four (#1, #2, #3 and #4) of eight residents out of nine sample residents were free from abuse.Specifically, the facility failed to:-Protect Resident #2 and Resident #1 from physical abuse by each other;-Protect Resident #3 from physical abuse by Resident #1;-Protect Resident #4 from physical abuse by Resident #1; and,-Protect Resident #2 from physical abuse by Resident #1.Findings include: I. Facility policy and procedure The Abuse policy, dated 2/29/24, was provided by the nursing home administrator (NHA) on 8/13/25 at 8:30 a.m. via email. The policy read in pertinent part, “The facility does not condone resident abuse and will take every precaution possible to prevent resident abuse by anyone, including staff members, other residents, volunteers, and staff of other agencies serving the resident, family members, legal guardians, resident representative, sponsors, friends, or any other individuals. “Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse, and physical or chemical restraints not required to treat the resident symptoms. “Providing a safe environment for the resident is one of the most basic and essential d.. Based on record review and interviews, the facility failed to ensure one (#1) of seven residents out of nine sample residents were kept free from physical restraints. Specifically, the facility failed to prevent manual holds being used on Resident #1 during incontinence care. Findings include:I. Facility policy and procedureThe Abuse policy, revised February 2024, was provided by the nursing home administrator (NHA) on 8/13/25 at 8:30 a.m. It read in pertinent part,“Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse, and physical or chemical restraints not required to treat the resident’s symptoms.”II. Resident #1A. Resident statusResident #1, age greater than 65, was admitted on 4/21/25 and discharged on 7/3/25. According to the July 2025 computerized physician orders (CPO), diagnoses included Alzheimer' s disease with early onset, frontal lobe dementia, unspecified mood disorder dementia and other diseases elsewhere classified with unspecified severity with other behavioral disturbance, severe with agitation, anxiety disorder and major depressive disorder.The 5/23/25 minimum data set (MDS) assessment identified Resident #1 had severe cognitive impairment with a brief interview fo..

A survey for Incident #39849 and Incident #39859 was conducted on 5/6/25 to 5/7/25. Two deficiencies were cited. Based on record review and interviews, the facility failed to investigate an allegation of abuse and neglect for one (#3) of four residents out of six sample residents. Specifically, the facility failed to complete thorough and timely investigations when Resident #3 sustained injuries of unknown origin. Findings include:I. Facility policy and procedureThe Abuse policy, dated 2/29/24, was provided by the nursing home administrator (NHA) on 5/7/25 at 3:45 p.m. The policy read in pertinent part, "Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. This includes, but is not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse, and physical or chemical restraints not required to treat the resident symptoms. "If resident abuse, neglect, exploration, misappropriation of resident property or injury of unknown source is suspected, the suspicion must be reported immediately to the administrator and to other officials according to state law."According to the abuse policy, the facility would conduct an investigation to include interviews with staff members, residents, or family members who may have knowledge of the incident.II. Resident #1 A. Resident statusResident #3, age greater than 65, was admitted on 12/18/24. According to the May 2025 computerized physicia.. This Citation text meets this visualizations limit for 32,000 characters, please reach out to CDPHE HFEMSD Records Team for the full citation text at cdphe_hfemsd_records@state.co.us. Within your email, please include Facility Name, Inspection ID and Citation Code.

A complaint survey, prompted by #CO39535 and Incident #39483 was conducted on 3/25/25 to 3/26/25. One deficiency was cited. Based on record review and interviews, the facility failed to ensure one (#1) of three free of significant medication errors out of four sample residents.Resident #1 was admitted to the facility on 2/13/25 with a diagnosis of acute and chronic respiratory failure with hypoxia, chronic diastolic (congestive) heart failure and cognitive communication deficit.On 2/19/25 a nurse administered Resident #1 200 milligrams (mg) of pregabalin (nerve pain medicine) and 25 mg of metoprolol (blood pressure medication) in error. The resident began to experience nausea and was sent to the emergency room for monitoring. The resident experienced cardiac dysrhythmia (irregular heartbeat), hypotension (low blood pressure) and bradycardia (low heart rate). Findings include: I. Professional reference According to Potter, P.A., Perry, A.G., et.al., Fundamentals of Nursing, 10 ed. (2022), E.sevier, St. Louis Missouri, pp. 606-607. "Take appropriate actions to ensure the patient receives medication as prescribed and within the times prescribed and in the appropriate environment."Professional Standards such as nursing scope and standards of practice apply to the activity of medication administration. To prevent medication errors, follow the seven rights of medication administration consistently every time you administer medications. Many medication errors can be linked in some way to an inconsistency in adhering to these seven rights:1. The right medication2. The right dose3. The right patient4. The right route5. The right time6. The right documentation7. The right indication." II. Resident #1 A. Resident status Resident #1, age greater than 65, was admitted on 2/13/25. According to the March 2025 computerized physician orders (CPO), diagnoses included acute and chronic respiratory failure with hypoxia, chronic diastolic (congestive) heart failure and cognitive communication deficit.The 2/14/25 minimum data set (MDS) assessment revealed Resident #1 was cognitively intact with a brief interview for mental status (BIMS) scor..

K-000 This survey was conducted in accordance with the Federal Register at Section 42 CFR (a) The initial comments (ID Prefix Tag K-000) are informational only and are a representation of the facility' s general characteristics.The facility is a single-story, Type V (111) structure equipped with a complete automatic fire suppression system on a municipal water system. The survey conducted on April 23, 2024, included an inspection for compliance with the fire.. Through document review and observation during the survey, it was determined that the facility failed to meet the protection requirements in accordance with NFPA 101, 25, and 13. This was evidenced by1. Fire sprinkler systems missing general information signs and hydraulic information signs2. Dry system south with no remote area inspectors test3. Semi-Annual Fire Sprinkler not provided. I discussed with the contractor that alarms and tampers must be com.. Through document review during the survey, it was determined that the facility failed to meet the protection requirements in accordance with NFPA 101 and 80. This was evidenced by: 1. The fire door in the kitchen needs annual maintenance. NFPA 101, 8.3.3.1 Openings required to have a fire protection rating by Table 8.3.4.2 shall be protected by approved, listed, labeled fire door assemblies and fire window assemblies and their accompanying hard.. Through document review during the survey, it was determined that the facility failed to meet the protection requirements in accordance with NFPA 101, 80, 90A, and 105. This was evidenced by:1. Fire Dampers Testing report (4-6 years)(101 8.5.5.4.1 & 80 19.4): Not ProvidedNFPA 101 8.5.5.4.1 Air-conditioning, heating, ventilating ductwork, and related equipment, including smoke dampers and combination fire and smoke dampers, shall be instal.. Through observation during the survey, it was determined that the facility failed to meet the healthcare facilities code requirements in accordance with NFPA 101 and 54. This was evidenced by:1. missing gas cable on the kitchen applianceNFPA 101, 9.1.1 Gas. Equipment using gas and related gas piping shall be in accordance with NFPA 54, National Fuel Gas Code, or NFPA 58, Liquefied Petroleum Gas Code, unless such installations are approved existing in.. Through observation during the survey, it was determined that the facility failed to meet the protection requirements in accordance with NFPA 99 and NFPA 55. This was evidenced by: 1. The Oxygen Trans-filling room is not up to code, needs mechanical ventilation within 12" of the floor, exhaust must terminate outside of the building away from intakes, and must be powered by the essential electrical system.NFPA 55 6.15.7.26.15.7.2 For gases that are heavier .. Through observation during the survey, it was determined that the facility failed to meet the protection requirements in accordance with NFPA 101 and NFPA 54. This was evidenced by: 1. Gas valves on the dryer(s) not rated for more than 2000 feet elevation need high-elevation gas valvesNFPA 54 11.1.2 High Altitude.Gas input ratings of appliances shall be used for elevations up to 2000 ft (600 m). The input ratings of appliances operating at elevations above 2000.. Through observation during the survey, it was determined that the facility failed to meet the protection requirements in accordance with NFPA 101. This was evidenced by:1. East wing fire door not latching.NFPA 101, 19.3.6.3.5 Doors shall be provided with a means for keeping the door closed that is acceptable to the authority having jurisdiction, and the following requirements also shall apply:(1) The device used shall be capable of keeping the door fully closed if a .. Through observation during the survey, it was determined that the facility failed to meet the protection requirements in accordance with NFPA 101. This was evidenced by:1. Physical therapy delayed egress door needs panic hardware. NFPA 101, 7.2.1.6.1.1 (3)*An irreversible process shall release the lock in the direction of egress within 15 seconds, or 30 seconds where approved by the authority having jurisdiction, upon application of a force to the release device req..