Residence at Grand Mesa

A relicensure survey was completed on 1/13/26. No deficiencies were cited. 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 VII.10.1 The assisted living residence shall have a readily available roster of current residents, their room assignments and emergency contact information, along with a facility diagram showing room locations.10.9 Emergency Equipment. Each kit shall include, at a minimum, the following items:(A)Latex free disposable gloves, (B) scissors (C) adhesive bandages, (D) bandage tape, (H) a note pad with a pen or pencil, (I) a CPR barrier device or mask, (J) and soap or waterless hand sanitizer.14.11 Only medication that has been ordered by an authorized practitioner shall be prepared for or administered to residents.21.1 The assisted living residence grounds shall be kept free of high weeds, garbage, and rubbish.

A revisit survey was completed on 8/18/25 for previous deficiencies cited on 6/3/25. 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

A revisit survey was completed on 8/18/25 for previous deficiencies cited on 6/3/25. 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

A licensure complaint, prompted by #CO40129, was completed on 6/3/25. A deficiency was cited. Based on records review and interviews, the residence failed to ensure each care plan detailed specific personal service needs along with the staff tasks necessary to meet those needs, affecting one of six sample residents (#1).Findings Include:Resident #1 was admitted to the residence on 12/18/23 with a diagnosis of bilateral above-the-knee amputation.A care plan, dated 4/1/24 and updated 6/1/25, read in part: Resident #1 has been angry and verbally abusive to staff. The care plan did not include any interventions for staff to utilize or information regarding altercations with other residents.A comprehensive assessment, dated 12/12/24 and updated 5/1/25, read in part: Resident #1 was "talked to" about reaching out to staff for support when angry. Resident #1 was "reminded that his words and actions affect staff and residents negatively. [Resident #1] agreed to be careful with his words and be kinder to staff."An incident report, dated 4/31/25, read in part: Resident #1 was confronted by Resident #2 in the hallway. Resident #1 ran over Resident #2 ' s foot "in anger." Staff gave Resident #2 "a choice to contact police or nothing could be done." Resident #2 is "O.K."On 6/4/25 at 8:20 a.m., Staff #1 stated she had been directed by the administrator to closely monitor Resident #1 and attempt to redirect when he had inappropriate behaviors, if that do.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The residence was advised that it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter7.13.4 The house rules shall list all possible actions which may be taken by the assisted living residence if any rule is knowingly violated by a resident. House rules shall not supersede or contradict any regulation herein, or in any way discourage or hinder a resident ' s exercise of his or her rights. House rules shall address, at a minimum, the following items:22.30 The assisted living residence shall prohibit smoking in areas where oxygen is stored and/or used and shall post a conspicuous " No Smoking " sign in those areas.22.35 Assisted living residences shall comply with the Colorado Clean Indoor Air Act at Sections 25-14-201 through 25-14-209, C.R.S.

A certification complaint, prompted by #CO40130, was completed on 6/3/25. A deficiency was cited. Based on records review and interviews, the facility (residence) failed to identify in the Provider Care Plan (Care Plan) the care needs of the member (resident) and a description of the specific supports, methodologies, and interventions to be used to address identified needs of the resident.Resident #1 was admitted to the residence on 12/18/23 with a diagnosis of bilateral above-the-knee amputation.A care plan, dated 4/1/24 and updated 6/1/25, read in part: Resident #1 has been angry and verbally abusive to staff. The care plan did not include any interventions for staff to utilize or information regarding altercations with other residents.A comprehensive assessment, dated 12/12/24 and updated 5/1/25, read in part: Resident #1 was "talked to" about reaching out to staff for support when angry. Resident #1 was "reminded that his words and actions affect staff and residents negatively. [Resident #1] agreed to be careful with his words and be kinder to staff."An incident report, dated 4/31/25, read in part: Resident #1 was confronted by Resident #2 in the hallway. Resident #1 ran over Resident #2 ' s foot "in anger." Staff gave Resident #2 "a choice to contact police or nothing could be done." Resident #2 is "O.K."On 6/4/25 at 8:20 a.m., Staff #1 stated she had been directed by management to attempt to redirect Resident #1 when he had inappropriate behaviors, if that does not w.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY. No response is necessary. The facility was advised that it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10 Section 8.7000.8.7001.B.2.a.iii. The setting ensures an individual' s rights of privacy, dignity, and respect, and freedom from coercion and Restraint.1) The right of privacy includes the right to be free of cameras, audio monitors, and devices that chime or otherwise alert others, including silently, when a person stands up or passes through a doorway.a) The use of cameras, audio monitors, chimes, and alerts in (a) interior areas of residential settings, including common areas as well as bathrooms and bedrooms, and in (b) typically private areas of non-residential settings, including bathrooms and changing rooms, is acceptable only under the standards for modifying rights on an individualized basis pursuant to Section 8.7001.B.4.b) If an individualized Assessment indicates that the use of a camera, audio monitor, chime, or alert in the areas identified in the preceding paragraph is necessary for an individual, this modification must be reflected in their Person-Centered Support Plan. The Person-Centered Support Plans of other individuals at that setting must reflect that they have been informed in Plain..