Medallion Villas

A revisit survey was completed on 12/15/25 for all previous deficiencies cited on 7/22/25. 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

A licensure complaint, prompted by #CO39520, was completed on 8/11/25. Deficiencies were cited. Based on record review, observation, and interview, the residence failed to provide nourishing meal substitutes and between-meal snacks, affecting 43 current residents.Findings include:1. Residence AgreementThe residence' s undated resident agreement read in part that the residence included in the basic service rate: three nutritionally balanced meals per day, served "restaurant style" and snacks.2. ObservationOn 8/11/25 from 7:20 a.m. to 1:15 p.m., there was a basket of fruits at the dining room entrance. There were no snacks readily available to the residents when the dining room door was closed and inaccessible to residents. Snacks were not observed in any of the common areas. On 8/11/25 at approximately 9:20 a.m. through 10:45 a.m., the residence' s dining room door was closed and in accessible to the residents.3. InterviewsOn 8/11/25 at approximately 10:00 a.m., Residents #1, #10, and #11 stated that the facility does not offer snacks and drinks in between meals. They further stated that the dining room doors are closed after meal times and reopen during designated times. On 8/11/25 at approximately 10:00 a.m., the Dietary Director stated that he does not offer in-between-meals snacks. He further stated that the medication room should have snacks in the vending machine and is available for purchase. On 8/11/25 at approximately 11:30 a.m., the administrator wa.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.17.19 Paper or disposable plastic ware shall not be used for regular meals with the exception of emergencies and outdoor dining.

A certification complaint, prompted by #CO#39521, was completed on 8/11/25. A deficiency was cited. Based on record review, observation, and interview, the facility (residence) failed to have access to food at all times, affecting 43 current members (residents).Findings include:1. Residence AgreementThe residence' s undated resident agreement, dated 2/16/24, read in part that the residence included in the basic service rate: three nutritionally balanced meals per day, served "restaurant style" and snacks.2. ObservationOn 8/11/25 from 7:20 a.m. to 1:15 p.m., there was a basket of fruits at the dining room entrance. There were no snacks readily available to the residents when the dining room door was inaccessible to the residents. Snacks were not observed in any of the common areas. On 8/11/25 at approximately 9:20 a.m. through 10:45 a.m., the residence' s dining room door was closed and in accessible to the residents.3. InterviewsOn 8/11/25 at approximately 10:00 a.m., Residents #1, #10, and #11 stated that the facility does not offer snacks and drinks in between meals. They further stated that the dining room doors are closed after meal times and reopen during designated times. On 8/11/25 at approximately 10:00 a.m., the Dietary Director stated that he does not offer in between meals snacks. He further stated that the medication room should have snacks available to the residents.On 8/11/25 at approximately 11:30 a.m., the administrator was unaware that in between meals, snacks and drinks were not offered at the dining area and the medication room. On 8/11/25 at approximately 10:30 a.m, Staff #6 stated that the facility used to offer snacks; however, it stopped last year due to a lack of supplies. On 8/11/25 at approximately 2:15 p.m., three unnamed residents stated that the facility does not offer snacks and drinks; however, they purchase their snacks and drinks.

A certification complaint, prompted by #CO34960, #CO35463, and #CO38942 was completed on 1/28/25. Deficiencies were cited. Based on interview and record review, the facility (residence) failed to protect members (residents) from physical abuse, affecting one current resident (#1), and inhumane treatment, affecting six of seven sample residents.Specifically, on 1/8/25 Resident #1 was physically assaulted by an unknown assailant in her bedroom. Resident #1 reported that "a really tall man put his hands around her neck". Residents and staff reported that prior to the incident there were many occasions when unknown individuals were found loitering in the second floor movie room and using the residents shared laundry room on the second floor. Additionally, residents and staff reported that before the assault they had on multiple occasions informed management that outside doors were left propped open or unlocked and that they did not feel this was safe practice. Furthermore, the residence specifically failed to provide the residents with warm water for baths and/or showers, which neglected their basic needs. This lack of essential se.. Based on observations, record review and interview, the facility (residence) failed to maintain policies and procedures to ensure the timely resolution of grievances or complaints brought by members (residents), affecting five of six sample residents. (Confidential Resident #1, Confidential Resident #2, Resident #2, #5, #6). Findings include:1. InterviewsOn 1/27/25 at approximately 8:30 a.m., Confidential Resident #1 stated that the hot water had not been working since approximately 11/15/25. Confidential Resident #1 stated that he/she had placed multiple complaints with management about the hot water and did not hear back about a resolution until January. On 1/28/25 at approximately 12:00 p.m., the acting administrator stated that grievances were followed up daily. The acting administrator stated that grievances were added to their grievance form and the follow up and resolution of the grievances were recorded on the same form. 2. Record ReviewOn 1/27/25 at approximately 1:00 p.m., all grievances.. Based on observations, record review and interviews the facility (residence) failed to maintain a home-like quality and feel for members (residents) at all times, affecting 44 current residents. (Cross-reference S1322, S1324, S1400)Findings include:1. Residence policiesThe Residency Agreement, undated, read in part that the residence provided services to residents that were detailed in the care plans.The residence' s Resident Rights policy, undated, read in part that residents rights included the right to expect the cooperation of the assisted living residence in achieving the maximum degree of benefit.2. ObservationsOn 1/27/25 and 1/28/25 during the onsite visit the surveyor witnessed on more than one occasion all residents travelling to a central location to obtain their prescribed medications. The surveyor observed residents lining up at the nursing station to receive their medications. On the same dates, the surveyor found posted signs that read, "Medications", on the 4th floor of the residence, that had an ..

A licensure complaint, prompted by #CO34959, #CO35462, and #CO38943 was completed on 1/28/25. Deficiencies were cited. Based on interview and record review, the residence failed to ensure residents had the right to be free of physical abuse, affecting one resident (#1). (Cross-reference S1324, S1352, S1400)Specifically, on 1/8/25 Resident #1 was physically assaulted by an unknown assailant in her bedroom. Resident #1 reported that "a really tall man put his hands around her neck". Residents and staff reported that prior to the incident there were many occasions when unknown individuals were found loitering in the second floor movie room and using the residents shared laundry room on the second floor. Additionally, residents and staff reported that before the assault they had on multiple occasions.. Based on observation, interview and record review, the residence failed to ensure residents had the right to be free from neglect, affecting 44 current residents. (Cross-reference S1322, S1352, S1400)Specifically, the residence failed to provide 44 current residents with warm water for baths and/or showers, which neglected their basic needs and caused residents emotional distress. This lack of essential service continued for over six weeks, leaving residents without the necessary amenities for personal hygiene. Furthermore, the residence failed to provide supplemental showers to residents leaving many residents without baths or showers for six weeks. Findings include:1. Residence policyThe resi.. Based on observation, record review and interviews, the residence failed to notify the department of a change in administrator, affecting 44 current residents.Review of the department database revealed the residence had not submitted an application to apply for a change in administrator or paid the required fee to the department. On 1/27/25 at 10:53 a.m., a department representative confirmed the licensee had not notified the department of the change of administrators.On 1/28/25 at approximately 3:00 p.m. the residence provided a document that revealed that the previous administrator resigned from her position on 5/26/24. On 1/27/25 at approximately 11:00 a.m., the.. Based on observations, record review and interview, the residence failed to implement an internal process to ensure routine and prompt handling of grievances or complaints brought by residents, affecting five of six sample residents. (Confidential Resident #1, Confidential Resident #2, Resident #2, #5, #6). (Cross-reference S1322, S1324, S1352)Findings include:1. InterviewsOn 1/27/25 at approximately 8:30 a.m., Confidential Resident #1 stated that the hot water had not been working since approximately 11/15/25. Confidential Resident #1 stated that he/she had placed multiple complaints with management about the hot water and did not hear back about a resolution until Jan.. Based on observations, record review and interviews the residence failed to ensure residents received the maximum degree of benefit from those services made available by the assisted living residence, affecting 44 current residents. (Cross-reference S1322, S1324, S1400)Findings include:1. Residence policiesThe Residency Agreement, undated, read in part that the residence provided services to residents that were detailed in the care plans.The residence' s Resident Rights policy, undated, read in part that residents rights included the right to expect the cooperation of the assisted living residence in achieving the maximum degree of benefit.2. ObservationsOn 1/27/25 and 1/28/25 during ..