Mountain Vista Assisted Living & Memory Care

A revisit survey was completed on 2/20/26 for all previous deficiencies cited on 10/1/25. 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 revisit survey was completed on 2/20/26 for all previous deficiencies cited on 10/1/25. 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 relicensure survey was completed on 10/1/25. Deficiencies were cited. Based on interviews and record review, the residence failed to ensure the administrator and qualified medication administration personnel (QMAP) supervisor audited the accuracy and completeness of the medication administration.. Based on observation and interview, the residence failed to comply with the Colorado Clean Indoor Air Act at Sections 25-14-201 through 25-14-209, C.R.S., affecting 60 current residents.1. ReferenceThe Colorado Clean Indoor Air Act, s.. Based on observation and interview, the residence failed to ensure that oxygen tanks were secured upright at all times in a manner that prevented tanks from falling over, being dropped, or striking each other, affecting 12 residents resi.. Based on observation and interview, the residence failed to provide keys to all staff working in the secured environment (SE) to a locked gate of the SE courtyard, affecting 12 current residents in the SE. On 9/30/25 at approx.. Based on record review and interview, the residence failed to ensure that no medication was administered by a qualified medication administration person (QMAP) on a pro re nata (PRN) or "as needed" basis when the residents di.. Based on record review and interview, the residence failed to ensure that the enhanced care plan included a description of how the resident will have continuous independent access to his or her individual room, along with the.. Based on record review and interview, the residence failed to have an Involuntary Discharge Grievance policy that complied with Section 25-27-104.3, C.R.S., and 6 CCR 1011-1 Chapter 7, affecting 60 current residents.Findings inclu.. Based on record review and interview, the residence failed to have policies and procedures to ensure the continuation of care to all residents for 72 hours following any emergency, affecting 60 current residents.Findings include:On 9/30.. Based on record review and interview, the residence failed to reassess residents every six months for the need of a secure environment, affecting four of five sample residents (#4, #5, #6, and #10) who resided in the secure environm.. Based on record review and interviews, the residence failed to ensure that each staff member received initial orientation and training for two of four sample staff (#3 and #4), affecting 60 current residents. Findings include: 1.C.. Based on record review and interviews, the residence failed to provide protective oversight, affecting three of six sample residents exhibiting behaviors (#2, #8, #9). Findings include:1. Chapter 7 regulations governing assisted living .. 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 a..

A recertification survey was completed on 10/1/25. Deficiencies were cited. Based on observation and interview, the facility (residence) failed to comply with the Colorado Clean Indoor Air Act at Sections 25-14-201 through 25-14-209, C.R.S., affecting 60 current members (residents).1. ReferenceThe Colorado Clean Indoor Air Act, section 25-14-203 (7), defines "Entryway" as the outside of the front or main doorway leading into a building or facility that is not exempted from this part 2 under section 25-14-205. "Entryway" also includes the area of public or private property within a specified radius outside of the doorway. The specified radius may be determine.. Based on observation and interviews, the facility (residence) failed to protect the following individual rights based on the needs of the individual as indicated in their person centered support plan, subject to the rights modification process regarding video monitoring, affecting 60 current residents. Findings include From 9/30/25 at 8:00 a.m. to 10/1/25 at 2:00 p.m., during an environmental review, a camera faced the front entrance of the residence, capturing the entrance of the activity room, elevator, and residents' rooms. Another camera was pointed at the library .. Based on record review and interview, the facility (residence) failed to have policies and procedures to ensure the continuation of care to all members (residents) for 72 hours following any emergency, affecting 60 current residents.Findings include:On 9/30/25 at 10:00 a.m., a 72-hour Continuation of Care policy and procedure was requested; however, the residence did not provide it.On 10/1/25 at 3:26 p.m., the administrator stated he was aware that a 72-hour plan was not included in the residence' s emergency policies. He stated there should have been one in .. Based on record review and interviews, the residence failed to provide protective oversight, affecting three of six sample residents exhibiting behaviors (#2, #8, #9). Findings include:1. Chapter 7 regulations governing assisted living residences, part 2.51, defines "Protective oversight" as guidance of a resident as required by the needs of the resident or as reasonably requested by the resident, including the following: monitoring the activities of the resident while on the premises to ensure the resident ' s health, safety and well-being, including monitoring the resident ' s ne.. Based on records review, observations and interviews, the facility (residence) failed to ensure members (residents), were not administered pro re nata (PRN) medication by a qualified medication administration person (QMAP), unless they were capable of voluntarily requesting the medication, affecting three of five sample residents (#4, #5, and #7) residing in the secured environment.Findings include:Resident #5 was admitted to the residence on 10/17/2024 with a diagnosis of Alzheimer' s disease.A written practitioner' s order, dated 2/27/25, direct.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary.The facility was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10 8.7000.8.7506.Ca. Members enrolled in the HCBS Elderly, Blind and Disabled (EBD) and the HCBS Community Mental Health Supports (CMHS) Waivers are eligible to receive services in an Alternative Care Facility. i. Potential Members shall be assessed, at a minimum, by a team that includes the Member and/or Guardian..