Retreat at Palisade, the

A revisit survey was completed on 1/23/25 for all previous deficiencies cited on 10/1/24. 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 licensure complaint, prompted by #CO34842 was completed on 10/1/24. Deficiencies were cited. Based on observation and interview, the residence failed to ensure the residence grounds were maintained to protect residents from hazards, affecting 41 current residents. Findings include: On 9/30/24 at 12:45 p.m., an environmental tour of the exterior grounds revealed that the courtyard area had a concrete pathway with two bushes, one on each side of the path. The two bushes had overgrown and needed to be trimmed as they posed a safety hazard. The two bushes had overgrown and blocked the pathway that lead from the residence to the residence parking lot. On 10/1/24 at 3:40 p.m., the administrator, the resident service director, the assistant administrator, and the regional director of operations all acknowledged the two bushes were not well maintained and posed a safety hazard because they block.. Based on observation and interview, the residence failed to keep grounds free from garbage and rubbish, affecting 41 current residents. Findings include: On 9/30/24 at 12:45 p.m., an environmental tour of the exterior grounds revealed the following:The external grounds near the south parking lot of the residence and near the path or the resident ' s designated smoking area contained a broken refrigerator, three washing machines, two dryers, a miniature refrigerator, three AC units, three speakers, a microwave, two wooden sawhorses, a nonoperational scooter, and an operational scooter. On 10/1/24 at 3:40 p.m., the administrator, the resident service director, the assistant administrator, and the regional director of operations stated they were all aware of the rubbish and acknowledged t.. Based on observation and interview, the resident failed to ensure the residence ' s window screens fit sufficiently tight at their perimeters to exclude pests, affecting 41 current residents.Findings include:On 9/30/24 at 12:45 p.m., an environmental tour of the exterior grounds revealed more than ten missing window screens throughout the residence, and residents with missing window screens had their windows open.On 10/1/24 at 3:40 p.m., the administrator, the resident service director, the assistant administrator, and the regional director of operations acknowledged that the residence had ten or more missing window screens, which resulted in the potential for a pest problem. 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 7.14.21 The assisted living residence shall be responsible for complying with authorized practitioner orders associated with medication administration except for those medications which a resident self-administers. 12.1 The assisted living residence shall make available, either directly or indirectly through a resident agreement, the following services, sufficient to meet the needs of the residents: A. physically safe and sanitary environment including, but not limited to, measures to reduce the risk of potential hazards in the physical e..

A certification complaint, prompted by #CO34843 was completed on 10/1/24. A deficiency was cited. Based on observation and interview, the facility failed to provide a well-maintained outdoor area accessible to participants, affecting 41 current members.Findings include:1. Garbage and RubbishOn 9/30/24 at 12:45 p.m., an environmental tour of the exterior grounds revealed the following:The external grounds near the south parking lot of the residence and near the path or the resident ' s designated smoking area contained a broken refrigerator, three washing machines, two dryers, a miniature refrigerator, three AC units, three speakers, a microwave, two wooden sawhorses, a nonoperational scooter, and an operational scooter. On 10/1/24 at 3:40 p.m., the administrator, the resident service director, the assistant administrator, and the regional director of operations stated they were all aware of the rubbish and acknowledged the residence needed to be better maintained and kept free from garbage. The regional director stated maintenance was using the items for spare parts, but she acknowledged that they were not following the regulatory requirement by having rubbish on the grounds of the residence.2. Other HazardBased on observation and interview, the residence failed to ensure the residence grounds were maintained to protect residents from hazards, affecting 41 current residents. Findings include: On 9/30/24 at 12:45 p.m., an environmental tour of the exterior grounds revealed that the courtyard area had a concrete pathway with two bushes, one on each side of the path. The two bushes had overgrown and needed to be trimmed as they posed a safety hazard. The two bushes had overgrown and blocked the pathway that lead from the residence to the residence parking lot. On 10/1/24 at 3:40 p.m., the administrator, the resident service director, the assistant administrator, and the regional director of operations all acknowledged the two bushes were not well maintained and posed a safety hazard because they blocked the sidewalk near the parking lot.