Good Samaritan Society -- Loveland Village

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Quality of Life and Care Deficiencies

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

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.

Smoke Deficiencies

Provide properly protected cooking facilities.

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Nursing and Physician Services Deficiencies

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

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

Construction Deficiencies

Meet requirements for sections of health care facilities separated by fire resistive construction.

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Quality of Life and Care Deficiencies

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

A survey prompted by complaint #CO39488 was completed on 2/24/25 to 2/26/25. One deficiency was cited. 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 survey prompted by #CO38935 and Incident #39157 was conducted on 2/24/25 to 2/26/25. One deficiency was cited. 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 survey for Incident #37974, #37977 and #38033 was conducted on 10/21/24 and 10/22/24. One deficiency was cited. Based on record review and interviews, the facility failed to prevent two of six sample residents (#2 and #3) from sexual abuse by certified nurse aide (CNA) #1. Record review and interviews revealed Resident #2, cognitively impaired and physically dependent, was sexually abused by CNA #1 on 7/27/24. The CNA was suspended immediately and terminated on 8/13/24. Resident #3, cognitively intact but visually impaired, reported on 10/11/24, that she, too, was sexually abused by CNA #1 before his suspension. Findings include:Record reviews and interviews confirmed the facility corrected the deficient practice before the onsite investigation from 10/21/24 to 10/22/24. The deficiency was cited as past non-compliance with a correction date of 8/2/24. I. Situation of serious harmRecord review and interviews revealed Resident #2, cognitively impaired and physically dependent, was sexually abused by CNA #1 on 7/27/24. The CNA was suspended immediately and terminated on 8/13/24. Resident #3, cognitively intact but visually impaired, reported on 10/11/24, that she, too, was sexually abused by CNA #1 before his suspension.I. Facility policy The Abuse and Neglect policy and procedure, dated 7/22/24, was provided by the nursing home administrator (NHA) at approximately 12:00 p.m. on 10/21/24. It read in pertinent part, "The resident has the right to be free from abuse, misappropriation of resident' s property and exploitation. Residents must not be subjected to abuse by anyone, including but not limited to, location, employees, other residents, consultants or volunteers, employees of other agencies serving the resident, family members, legal guardians or other individuals. If an employee receives an allegation of abuse, neglect, exploitation or misappropriation of resident property, the employee will take measures to protect the resident. The employee will then report the allegation to a supervisor." II. Sexual abuse of Resident #2 A. Resident status Resident #2, age over 65, was admitted to the facility on 8/2/19. Acco..