Morningstar of Fort Collins

A licensure complaint, prompted by #CO39576 and #CO40532, was completed on 7/15/25. A deficiency was cited. Based on records review and interviews, the residence failed to comply with authorized practitioner orders affecting one (#1) of four sample residents. Findings include:Resident #1 was admitted to the residence on 12/31/20 with a diagnosis including hypertension and congestive heart failure. 1. FurosemideA written practitioner order, dated 2/24/25, directed the residence to administer furosemide 20 mg orally once daily. The June 2025 medication administration record (MAR) indicated the medication was not administered 6/4-6/7 and 6/20-6/21/25.2. NabumetoneA written practitioner order, dated 2/24/25, directed the residence to administer nabumetone 500 mg once daily. The June 2025 MAR indicated the medication was not administered on 6/12/25.3. Fluticasone-salmeterolA written practitioner order, dated 3/10/25, directed the residence to administer Fluticasone-salmeterol 250-50 inhaler one puff twice daily.The June 2025 MAR indicated the medication was not administered on 6/1/25 for one dose.On 7/15/25 at 11:30 a.m., the licensed practical nurse (LPN) said staff did not properly inform her when medication was unavailable. She acknowledged that the MAR for Resident #1 showed five instances of documentation indicating that the medication was either unavailable or not in the cart. She said the expectation was that all prescribed medications should be available. She acknowledged failure to ensure the medication had been available. On 7/15/2025, at 11:40 a.m., the administrator stated that her expectation was that all medications by practitioners were available for administration. She acknowledged that the MAR showed medication was unavailable. Additionally, she acknowledged failure to ensure the medication had been available.

A revisit survey was completed on 4/16/25 for all previous deficiencies cited on 10/30/24. 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 relicensure survey with complaint #CO38045 was completed on 10/30/24. Deficiencies were cited. Based on interviews and record review, the residence failed to ensure that personnel files included written documentation of orientation and training, first aid and CPR certifications, and follow-up for three sample staff (#13-#15) and one former staff member (#16), affecting 79 current residents.Findings include:1. Record ReviewThe personnel files for Staff #13-#15 and former Staff #16 were reviewed. They revealed they were hired on 10/26/23, 2/13/24, 5/20/24, and 9/27/20, respectively. However, there was no evidence of orientation or CPR and first aid. 2. Interview On 10/30/24 at 8:15 a.m., Staff #13- #15 stated they had completed or attended an orientation. .. Based on observation, record review, and interview, the residence failed to comply with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers, affecting six of six sample residents (#7, #17, #18, #19, #20, and #23). Findings include:1. Resident #23 was admitted to the residence on 6/10/22 with diagnoses including high blood pressure.Benazepril A written practitioner' s order, dated 3/1/24, directed the residence to administer benazepril HCL 40 mg one tablet daily. However, the October 2024 medication administration record (MAR) read the medication was not administered on 10/15-10/18/24 due to the me.. Based on record review and interview, the residence failed to ensure resident records contained progress notes that included out-of-ordinary events along with the action taken by staff to address the resident' s changing needs, affecting one of three sample residents (#7) in the secure environment. (Cross-reference S3060)Findings include: Resident #7 was admitted to the residence on 7/28/21 with a diagnosis of dementia, a fractured neck, and femur. The residence' s progress notes for Resident #7, dated 7/29/24, read that a staff member noticed pink spots on her back that may have been in the beginning stages of "pressure sores." No other progress note documentation was .. Based on record review, and interview, the residence failed to ensure the enhanced care plan for each residence in the secure environment included a resident' s known behavioral expressions along with individualized approaches to be implemented, affecting one of one sample residents (#7) with an enhanced care plan. (Cross-reference S2230 ) Findings include:Resident #7 was admitted to the residence on 7/28/21 with a diagnosis of dementia, a fractured neck, and femur. The residence' s progress notes for Resident #7, dated 7/29/24, read that a staff member noticed pink spots on her back and may have been in the beginning of "pressure sores." The residence' s care plan for Resident.. 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 7.10.6 Each assisted living residence ' s emergency policies shall address, at a minimum, all of the following items:(B) A schematic plan of the building or portions thereof placed visibly in a central location and throughout the building, as needed, showing evacuation routes, smoke stop and fire doors, exit doors, and the location of fire extinguishers and fire alarm boxes;(G) Assignment of specific tasks and responsibilities to the..

A complaint revisit was completed on 10/30/24 for all previous deficiencies cited on 9/8/22. The regulations governing Assisted Living Residences were revised, and the new regulations were implemented on 7/1/24. Based on record review and interview the residence failed to detail in each resident' s care plan the individualized approaches necessary to address fall risk, affecting one of three sample residents (#20). This deficiency was cited previously during a state licensure survey 9/8/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement. Findings include:1. Resident #20 was admitted to the residence on 2/16/23 with diagnoses of Alzheimer' s disease.A progress note, dated 6/23/24 read in part, the resident was found on the floor of his bedroom by staff on 6/23/24 at approximately 5:15 a.m,. He was soiled and combative toward staff when assisting him off the floor. Staff then perfo.. Based on record review and interview, the residence failed to ensure resident records contained progress notes that included out-of-ordinary events along with the action taken by staff to address the resident' s changing needs, affecting one of three sample residents (#7) in the secure environment. (Cross-reference S3060).Findings include: This deficiency was cited previously during a state licensure survey 9/8/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Resident #7 was admitted to the residence on 7/28/21 with a diagnosis of dementia, a fractured neck, and femur. The residence' s progress notes for Resident #7, dated 7/29/24, read that a staff member noticed pink spo.. Based on record review, and interview, the residence failed to ensure the enhanced care plan for each residence in the secure environment included a resident' s known behavioral expressions along with individualized approaches to be implemented, affecting one of one sample residents (#7) with an enhanced care plan. (Cross-reference S2230)This deficiency was cited previously during a state licensure survey 9/8/22. Although the residence corrected the deficiency, based on the findings below, the residence has not maintained compliance with this regulatory requirement.Findings include:Resident #7 was admitted to the residence on 7/28/21 with a diagnosis of dementia, a fractured neck, and femur. The residence' s progress notes for Resident #7, dated 7/29/24, read that a s.. 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