Manor on Sycamore Street, the

A relicensure survey was completed on 1/21/26. Deficiencies were cited. Based on observation, interview, and record review the residence failed to ensure direct care staff members received the required dementia training, for two of two staff (#1, #2), affecting 9 current residents.Findings include:On 1/21/26 from approximately 7:30 a.m. to 1:30 p.m., Staff #1 was observed providing care and services to residents including medication administration, food preparation, and meal service.Staff #1 and #2 were hired on 2/26/20 and 12/9/24, respectively.Personnel records for Staff #1 and #2 revealed no evidence of dementia training.On 1/21/26 at 11:50 a.m., the administrator said Staff #1 and #2 had not received dementia training, as required. Based on observation, record review, and interview, the residence failed to have heat and ventilation sufficient to meet the needs of a resident, affecting one sample resident (#3).Findings include:On 1/21/26 at 8:10 a.m., Resident #3 stated her room was cold, and she had to wear extra clothes or extra blankets. She stated it was reported to maintenance and Staff #1. There were broken coverings on the window and the glass sliding door, but they had not been fixed, and Resident #3 used sheets to cover the glass. She also stated that the vents in her room do not work. She said she told the previous maintenance staff about a year ago and told the new maintenance staff too.On 1/21/26 at 8:30 a.m., the temperature in Resident #3' s room read 62.4 degrees Fahrenheit (F).On 1/21/26 at 8:35 a.m., Resident #3 stated Staff #1 had offered a space heater and had it on for a couple of hours. She also stated that staff #1 told her to keep her door open. Resident #3 stated she did not feel comfortable with the space heater and li.. Based on observations and interview, the residence failed to comply with the Colorado Clean Indoor Air Act, affecting 9 current residents.Findings include: On 1/21/26 at 8:05 a.m., the lower-level smoking area was measured at approximately five feet from the entrance.On 1/21/26 at 9:10 a.m., Resident #4 was observed smoking in the designated smoking area on the main level. On 1/21/26 at 10:30 a.m., Resident #4 was observed smoking in the designated smoking area on the main level.On 1/21/26 at 11:00 a.m., the main level smoking area was measured at approximately six feet from the entrance.On 1/21/26 at 12:06 p.m., Resident #4 was observed smoking in the designated smoking area on the main level.On 1/21/26 at approximately 12:15 p.m., the assistant administrator observed the placement of the smoking area, both upper and lower, and said she was aware that the smoking area should be at least 25 feet from the entrance of the building. She stated that the smoking areas had been ther..

A recertification survey was completed on 1/21/26. Deficiencies were cited. Based on observation, record review, and interview, the facility (residence) failed to maintain a comfortable temperature inside the range of 68 degrees to 76 degrees Fahrenheit residents (members) affecting one current resident (#3).Findings include:On 1/21/26 at 8:10 a.m., Resident #3 stated her room was cold, and she had to wear extra clothes or extra blankets. She stated it was reported to maintenance and Staff #1. There were broken coverings on the window and the glass sliding door, but they had not been fixed, and Resident #3 used sheets to cover the glass. She also stated that the vents in her room do not work. She said she told the previous maintenance staff about a year ago and told the new maintenance staff too.On 1/21/26 at 8:30 a.m., the temperature in Resident #3' s room read 62.4 degrees Fahrenheit (F).On 1/21/26 at 8:35 a.m., Resident #3 stated Staff #1 had offered a space heater and had it on for a couple of hours. She also stated that staff #1 told her to keep her door open. Resid.. Based on observation, record review, and interviews, the facility (residence) failed to comply with the restrictions on smoking near entryways outlined in the Colorado Clean Indoor Air Act (CCIAA), affecting nine current members (residents).Findings include: On 1/21/26 at 8:05 a.m., the lower-level smoking area was measured at approximately five feet from the entrance.On 1/21/26 at 9:10 a.m., Resident #4 was observed smoking in the designated smoking area on the main level. On 1/21/26 at 10:30 a.m., Resident #4 was observed smoking in the designated smoking area on the main level.On 1/21/26 at 11:00 a.m., the main level smoking area was measured at approximately six feet from the entrance.On 1/21/26 at 12:06 p.m., Resident #4 was observed smoking in the designated smoking area on the main level.On 1/21/26 at approximately 12:15 p.m., the assistant administrator observed the placement of the smoking area, both upper and lower, and said she was aware that the smoking area should be at least 25 feet from t.. Based on record review and interview, the facility (residence) failed to specify a particular room or unit; specify the date of admission and specify rent or room-and-board charges on the residency agreement, or other form of written agreement in place, affecting one of two sample members (residents) (#2).Findings include:On 1/21/26 at 9:38 a.m., Resident #2 was admitted to the residence on 10/03/23. Resident #2' s resident agreement did not include the date of admission, rent or room and board charges, or room/unit number. The resident agreement was signed by Resident #2 and the house manager, with no date entered.On 1/21/26 at 9:50 a.m., Staff #1 said she was responsible for filling out the resident agreement. She said the expectation is that all areas should be filled out and agreed that Resident #2 ' s resident agreement was not completed.On 1/21/26 at approximately 12:30 p.m., the administrator said he was aware the resident agreement should include the admission date, rent/room and board charges, room/u..

A revisit survey was completed on 8/10/23 for all previous deficiencies cited on 10/27/22. The agency is in compliance with all regulations surveyed. 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