Courtyards at Mountain View, the

A licensure complaint, prompted by #CO41464 and #CO41595, was completed on 2/10/26. A deficiency was cited. Based on record review and interview, the residence failed to comply with department reporting requirements for infectious diseases, affecting 85 current residents.Findings include:1. Reference The Mitigation Guidance, dated October 2025, read: "Facilities must report confirmed or suspected outbreaks immediately to the appropriate local public health agency or to Colorado Department of Public Health (CDPHE)."2. Record ReviewAn email from the residence, dated January 8, 2026, listed the names of residents and staff who had tested positive for COVID; however, the email was sent to an internal email address instead of the local or state health department as required. 3. InterviewOn 2/10/26 at approximately 1:30 p.m., the administrator stated that the residence had an outbreak at the end of December 2025 and January 2026. She stated that four residents tested positive for COVID-19. She stated that she had sent an email to what she believed was the CDPHE to report a COVID outbreak involving four residents. However, she mistakenly sent the email to an internal company address instead. She acknowledged her error in sending the information to the incorrect email. Additionally, she stated she was unaware outbreaks could be reported to the local public health department.

A licensure complaint, prompted by #CO39136 and #CO40879 was completed on 9/9/25. A deficiency was cited. Based on record review and interviews, the residence failed to comply with practitioner orders associated with medication administration except for those medications which a resident self-administers, affecting two of three sample residents (#2, #3). Findings Include:Record Review Resident #2 was admitted to the residence on 1/10/25 with a diagnosis including Anxiety Disorder, Depression, GERD, and Non-Epileptic seizures.a. Primidone 25 mgWritten practitioner' s orders for Resident #2 dated 1/11/25, directed the residence to administer primidone 25 mg tablet every morning. However, the August 2025 medication administration records (MAR) read that the medication was out of stock and not administered at 8:00 a.m. on 9/4/25 and 9/7/25.b. Primidone 50 mgWritten practitioner' s orders for Resident #2 dated 1/11/25, directed the residence to administer primidone 50 mg tablet every night. However, the August 2025 MAR read that the medication was out of stock and not administered at 8:00 p.m. on 9/4/25.c. Gabapentin Written practitioner' s orders for Resident #2 dated 2/4/25 directed the residence to administer Gabapentin 300 mg three times a day. However, the September 2025 MAR read that the medication was out of stock and not administered at 8:00 a.m. on 9/4/25 d.DuloxetineWritten practitioner' s orders for Resident #2 dated 1/11/25 directed the residence to administer duloxetine HCL 60 mg cap daily. However, the September 2025 MAR read that the medication was out of stock and not administered on 9/4/25. e. Propranolol Written practitioner' s orders for Resident #2 dated 7/8/25 directed the residence to administer propranolol HCL 20mg orally twice a day. However, the September 2025 MAR read that the medication was out of stock and not administered at 11:00 a.m. on 9/4/25. Similar deficient practice was also observed with Resident #3 InterviewsOn 9/9/25 at 3:25 p.m., the health and wellness director stated that she was unsure why medications were missed because they were on cycle. However..

A revisit survey was completed on 6/26/25 for all previous deficiencies cited on 1/15/25. 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