Prairie Creeks Living Center

A revisit survey was completed on 4/15/26 for all previous deficiencies cited on 12/10/25. 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 4/15/26 for all previous deficiencies cited on 12/10/25. 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 recertification survey was completed on 12/10/25. Deficiencies were cited. Based on observation and interviews, the facility (residence) failed to provide a well-maintained outdoor area, affecting 17 current residents.Findings include:On 12/10/25 at approximately 10:15 a.m., an environmental tour was conducted of the south side of the residence that consisted of a seating area and a walkway to the parking lot. There were approximately 10 cracks and holes on the concrete floor on the south side of the residence. The cracks ranged from approximately two to 11 inches in length and two and a half inches in depth. Approximately two of the 10 cracks were a half inch to one inch deep. These cracks were a tripping hazard. In the same area there was edging that span.. Based on record review and interview, the facility (residence) failed to provide sufficient support to members (residents) in the use of medications, affecting one of three sample residents (#1).Findings include:1. Resident #1 was admitted to the residence on 4/30/18 with a diagnosis of osteoporosis, osteoarthritis and scoliosis.A written practitioner ' s order, dated 11/4/25, directed the residence to administer lorazepam 0.5 mg once daily. However, the November 2025 medication administration record (MAR) for Resident #1 had a blank space on 11/12/25.The November 2025 controlled substance sheet for Resident #1 read the lorazepam was not administered on 11/12/25. 2. Interview.. Based on record review and interview, the residence (facility) failed to have an Involuntary Discharge Grievance policy, affecting 17 current residents.Findings include:On 12/09/25 at 8:30 a.m., the residence' s Involuntary Discharge Grievance policy was requested from the administrator; however, the residence was unable to provide the policy.On 12/10/25 at approximately 10:38 a.m., the administrator stated she was unaware of the requirement to have an Involuntary discharge grievance policy. Based on record review and interview, the residence (facility) failed to have written policies and procedures that met the required elements regarding the visitation rights, affecting 17 current residents. Findings include:On 12/9/25 at approximately 8:30 a.m., the written policy to ensure the continuation of care necessary for all residents for at least 72 hours was requested. However, no policy was provided. On 12/10/25 at 10:38 a.m., the administrator said she had a plan, but had not developed or written out the policy to ensure the necessary care for at least 72 hours. The administrator was not aware the policy had to be developed. 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 10 CCR 2505-10 8.7000. 8.7001 Home and Community-Based Services Member Rights and Responsibilities8.7001.B Individual Rights under the Home and Community-Based Services (HCBS) Settings Final Rule3. Additional Criteria for HCBS Settingsa. Provider-Owned or -Controlled Residential Settings must have all of the following qualities and protect all of the following individual rights, based on the needs of the individual as indicated in their Person-Centered Supp..

A relicensure survey was completed on 12/10/25. Deficiencies were cited. Based on interview and record review, the residence failed to assign at least one staff member responsible for the management of the residence' s infection prevention and control program and training, affecting 17 current residents.Findings include:On 12/9/25 at approximately 8:30 a.m., the administrator was asked to provide proof that.. Based on interview and record review, the residence failed to develop and implement emergency preparedness policies and procedures, which included when to evacuate the premises and the procedure for doing so and a plan that ensured the availability of, or access to, emergency power for essential functions and all resident-required medical d.. Based on interview and record review, the residence failed to establish, maintain, and implement an infectious disease mitigation, vaccine, and treatment plan, identification of designated staff to coordinate vaccine information, administration, and tracking and reporting of the vaccination status of staff, affecting 17 current residents. Findings .. Based on observation and interview, the residence failed to ensure the grounds were maintained to protect residents from holes or other hazards, affecting 17 current residents.Findings include:On 12/10/25 at approximately 10:15 a.m., an environmental tour was conducted of the south side of the residence that consisted of a seating area and a walkw.. Based on observation and interview, the residence failed to keep the residence handrails in good repair, affecting 17 current residents.Findings include:On 12/10/25 at approximately 10:15 a.m., an environmental tour of the residence was conducted and revealed the handrails on the ramp of the north part of the residence, utilized for access to an a.. Based on record review and interview, the residence failed to develop written policies to ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency, including, but not limited to, a long-term power failure, affecting 17 current residents.Findings include:On 12/9/25 at approximately 8:30 a.m... Based on record review and interview, the residence failed to have an Involuntary Discharge Grievance policy, affecting 17 current residents.Findings include:On 12/09/25 at 8:30 a.m., the residence' s Involuntary Discharge Grievance policy was requested from the administrator; however, the residence was unable to provide the policy.On .. Based on record review and interview, the residence failed to have written policies and procedures that met the required elements regarding the visitation rights, affecting 17 current residents. Findings include:On 12/09/25 at 8:30 a.m., the residence' s visitation policy was requested. A review of the policy binder revealed no evidence of a visitati.. Based on the record review and interview, the residence failed to have a written policy and procedures that met the required elements regarding the visitation rights, affecting 17 current residents. Findings include:On 12/09/25 at 8:30 a.m., the residence' s visitation policy was requested. A review of the policy binder revealed no evidence of a.. 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 2 and Chapter 7.Chapter 22.3.6. Applicants must show compliance with the Colorado Adult Pr..

A revisit survey was completed on 8/8/23 for all previous deficiencies cited on 1/4/23. 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