Stoneridge at Centerra

A relicensure survey and complaint revisit was completed on 10/27/25 for the previous deficiency cited on 4/28/25. A deficiency was cited.The regulations governing Assisted Living Residences were revised. The new Chapter VII regulations were implemented on 7/1/25. Based on record review and interview, the residence failed to ensure resident care plans contained a description of the residents' personal grooming and hygiene items that were determined unsafe for the resident to have in their possession for self-care and how those items were stored to prevent unauthorized access by other residents or behavioral expressions and staff approaches to protect the resident, affecting 41 current residents in the secured environment.This deficiency was cited previously during a state licensure survey on 4/28/25. Although the facility corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement.1. ObservationOn 10/27/25 from 2:00 p.m., to 2:30 p.m., during an environmental tour of the residence, Resident' s #10 ' s room had a locked closet, next to the closet was a box that contained self-care items, including toothpaste, hand soap, acetone, and other personal toiletries.2. Record Review A care plan for Resident #10, dated 5/23/25, did not contain a description of that Resident #10' s personal grooming and hygiene items were deemed safe for the resident to have in their possession.3. Interview On 10/27/25 at approximately 2:05 p.m., the wellness coordinator stated Resident #10 ' s personal grooming items should have been locked in the closet and not openly ava.. 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 complaint revisit was completed on 10/27/25 for all previous deficiencies cited on 4/28/25. A deficiency was cited.The regulations governing Assisted Living Residences were revised. The new Chapter VII regulations were implemented on 7/1/25. Based on record review and interview, the residence failed to ensure resident care plans contained a description of the residents' personal grooming and hygiene items that were determined unsafe for the resident to have in their possession for self-care and how those items were stored to prevent unauthorized access by other residents or behavioral expressions and staff approaches to protect the resident, affecting 41 current residents in the secured environment.This deficiency was cited previously during a state licensure survey on 4/28/25. Although the facility corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement.1. ObservationOn 10/27/25 from 2:00 p.m., to 2:30 p.m., during an environmental tour of the residence, Resident' s #10 ' s room had a locked closet, next to the closet was a box that contained self-care items, including toothpaste, hand soap, acetone, and other personal toiletries.2. Record Review A care plan for Resident #10, dated 5/23/25, did not contain a description that Resident #10' s personal grooming and hygiene items were deemed safe for the resident to have in their possession.3. Interview On 10/27/25 at approximately 2:05 p.m., the wellness coordinator stated Resident #10 ' s personal grooming items should have been locked in the closet and not openly ava.. 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 and Change of Ownership Survey and Complaint Revisit was completed on 4/28/25 for all previous deficiencies cited on 3/5/25. Deficiencies were cited.Tag S3060 was not cited in the previous event; however, the deficiency was included in the previous event' s informational 999 tag. Based on record review and interview, the residence failed to ensure resident care plans contained a description of the residents' personal grooming and hygiene items that were determined safe for the resident to have in their possession for self-care and how those items were stored to prevent unauthorized access by other residents or behavioral expressions and staff approaches to protect the resident, affecting 39 current residents in the secured environment.1. ObservationOn 4/28/25 from 8:00 a.m. to 8:30 a.m., during an environmental tour of the residence, Resident' s #11' s bathroom had locked drawers that contained self-care items, including toothpaste, hand soap, and other personal toiletries.2. Record reviewA care plan for Resident #11 read that the residence did not contain a description of resident #11' s personal grooming and hygiene items deemed safe for the resident to have in their possession.3. InterviewsOn 4/28/25 at 8:30 a.m., Staff #9 said that all residents in the secured environment had their hygiene items included hand soap, stored in a locked drawer in their rooms. She stated that they were locked away for safety, and residents do not have a key to their hygiene drawer.On 4/28/25 at 2:30 p.m., resident care director administrator designee stated she was not aware of the regulation requiring residents to have care plan documentati.. 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 #CO39817, was completed on 4/28/25. Deficiencies were cited. Based on interview and record review, the residence failed to ensure staff observed a resident' s right to be free from sexual abuse and intimidation, affecting one resident (#9). (Cross-reference S430)Specifically, Resident #9 alleged Resident #10 would nonconsensually touch and kiss him, causing him to feel violated. The residence staff stated that Resident #9 did not like it when Resident #10 would nonconsensually touch or intimidate him. Resident #10 said he was afraid to keep his room door open, fearing that Resident #10 would enter and make unwanted advances or intimidate him. A note dated 4/4/25 addressed to Resident #10 from Resident #9, written with the help of a family member and delivered to Resident #10 by the residence administration, read in part, Resident #9 was uncomfortable with Resident #10' s inappropriate touching and kissing in the hallways. He would like her to stop the behavior. However, the behaviors continued, and Resident #10 would not leave Resident #9 alone. This caused Resident #9 to f.. Based on record review and interview, the residence failed to comply with occurrence reporting requirements, affecting one sample resident (#9) who alleged abuse. (Cross-reference S1322)Findings include:According to the Occurrence Reporting Manual, dated May 2018, the residence must report an occurrence to the Department when: "Any occurrence involving physical...abuse of a patient or resident, as described in Section 18-3-202, 18-3-203, and 18-3-204...C.R.S., by another patient or resident, an employee of the facility, or a visitor to the facility. Two elements (were) needed: Intent OR Knowingly OR Recklessly AND Bodily injury. Any occurrence involving physical or verbal abuse of a patient or resident as described in 25-1-124 (d) Any occurrence involving physical, sexual, or verbal abuse of a patient or resident, as described in section 18-3-202, 18-3-203, 18-3-204, 18-3-206, 18-3-402, 18-3-403, as it existed prior to July 1, 2000, 18-3-404, or 18-3-405, C.R.S., by another patient or resident, an employee of the fac.. Based on record review and interview, the residence failed to ensure resident care plans contained a description of the residents' personal grooming and hygiene items that were determined safe for the resident to have in their possession for self-care and how those items were stored to prevent unauthorized access by other residents or behavioral expressions and staff approaches to protect the resident, affecting 39 current residents in the secured environment.1. ObservationOn 4/28/25 from 8:00 a.m. to 8:30 a.m., during an environmental tour of the residence, Resident' s #11' s bathroom had locked drawers that contained self-care items, including toothpaste, hand soap, and other personal toiletries.2. Record reviewA care plan for Resident #11 read that the residence did not contain a description of resident #11' s personal grooming and hygiene items deemed safe for the resident to have in their possession.3. InterviewsOn 4/28/25 at 8:30 a.m., Staff #9 said that all residents in the secured environment had thei..

A relicensure and change of ownership survey with complaints #CO39371 and #CO39035 was completed on 3/5/25. Deficiencies were cited.A change of ownership occurred on 12/23/24. Based on observations, interviews, and record reviews the residence failed to implement a policy and procedure for an effective information management system, affecting 96 current residents. (Cross-reference S1194, S1530, S1568)Findings include:On 3/4/25 at 10:07 a.m., a complete staff roster, staff cardiopulmonary resuscitation (CPR) certifications, residence policies, and procedures, administrator training, infection prevention program, fall management program, and electronic health record (EHR) access were requested from the administrator.On 3/4/25 at 10:07 a.m., an email was sent to the administrator requesting the following information: history of residen.. Based on record review and interview the residence failed to administer only medication that had been ordered by an authorized practitioner, affecting one (#2) of eight sample residents. (Cross-reference S1568, S2214)Findings include:Resident #2 was admitted to the residence on 4/3/23.The January 2025 medication administration record (MAR) for Resident #2 revealed the residence administered senna plus 8.6-50 mg at 8:00 p.m. from 1/1/25 to 1/31/25.A review of the resident record for Resident #2 revealed no evidence of a practitioner' s order for senna plus 8.6-50 mg.On 3/5/25 at 4:30 p.m., the administrator stated she was unaware of the missing order and that she shoul.. Based on record review and interview the residence failed to comply with the authorized practitioner' s orders, affecting one (#2) of eight sample residents. (Cross-reference S1530, S2214)Findings include:Resident #2 was admitted to the residence on 4/3/23 with diagnoses of diabetes mellitus, cognitive impairment, hypertension, macular degeneration, obstructive sleep apnea, anxiety state, pure hypercholesterolemia, and major depressive disorder.A practitioner' s order for Resident #2, dated 11/25/24, directed the residence to administer clonazepam 0.5 mg twice daily.A practitioner' s order for Resident #2, dated 1/2/25, directed the residence to discontinue administering clonaz.. Based on record review, observation, and interview, the residence failed to document and implement effective actions that were to be taken by staff to prevent the reoccurrence of falls, affecting one out of five sample residents. (Cross-reference S2214)Specifically, Resident #5 was admitted to the residence on 1/9/23 with diagnoses including cognitive decline and vestibular disequilibrium. From 2/10-2/22/25 the resident had 12 falls and two of the falls resulted in injuries such as a skin tear, pain in his left elbow and hitting his head. The resident' s care plan, dated 1/23/25, read in part staff fall interventions were to remind Resident #5 to ask for assistance with transfers. Howeve.. 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 7.19.2 The assisted living residence shall have and follow written policies and procedures that address the transmission of communicable diseases with a significant risk of transmission to other persons and for reporting diseases to the state and/or local health department, pursuant to 6 CCR 1009-1, Epidemic and Communicable Disease Control. (A) The policies and procedures shall be based on nationally recognized guidelines, s..