Summit Supportive Communities

A recertification survey with complaint #CO40474 was completed on 7/8/25. A deficiency was cited. Based on record review and interviews, the facility (residence) failed to protect individual rights affecting one sample member (resident) (#1).Specifically, on 6/2/25, Former Resident #4 physically assaulted and injured Resident #1. Resident #1 sustained a broken femur that required emergency surgery. Prior to this incident, on 5/21/25, Former Resident #4 broke the window in his room, punched two holes in his bedroom wall, and destroyed his room because Resident #1 was up throughout the night, turning the hallway lights on and off. Former Resident #4 had a history of angry outbursts. Findings include:1. Former Resident #4 was admitted to the residence on 5/1/24, with diagnoses including traumatic brain injury, irritability, anger and impulsive disorder. An undated care plan in Former Resident #4' s record read, in part, "Requires supervision and monitoring to help manage/redirect destructive/abusive behaviors. When (Former Resident #4) gets upset, he will destroy his room and break things in his room. He has in the past thrown a plate at a staff member when he was offered a meal in his room since he did not come up to eat."A practitioner' s progress note in Former Resident #4' s record, dated 3/25/25 read, in part, "(Former Resident #4) is a male patient presenting with symptoms of depression and recent episodes of anger ... Given his history and current presentation, the differential diagnoses includes major depressive disorder, adjustment disorder and possibly bipolar disorder. Recent behavioral changes, including damaging property (microwave incident), raise concerns about impulse control and potential escalation of symptoms."Progress notes and incident reports in Former Resident #4' s record for May and June 2025 revealed the following:On 5/10/25, a staff member knocked on Former Resident #4' s door and offered him breakfast. Former Resident #4 was upset and threw the breakfast plate at the wall, started cussing at staff and threw and slammed things in his room. On 5/21/25, Former Resident #4 destroyed his bedroom. ..

A relicensure survey with complaint #CO40475 was completed on 7/8/25. A deficiency was cited. Based on interviews and record reviews the residence failed to protect residents from physical abuse affecting one sample resident (#1).Specifically, on 6/2/25, Former Resident #4 physically assaulted and injured Resident #1. Resident #1 sustained a broken femur that required emergency surgery. Prior to this incident, on 5/21/25, Former Resident #4 broke the window in his room, punched two holes in his bedroom wall, and destroyed his room because Resident #1 was up throughout the night, turning the hallway lights on and off. Former Resident #4 had a history of angry outbursts. Findings include:1. Former Resident #4 was admitted to the residence on 5/1/24, with diagnoses including traumatic brain injury, irritability, anger and impulsive disorder. An undated care plan in Former Resident #4' s record read, in part, "Requires supervision and monitoring to help manage/redirect destructive/abusive behaviors. When (Former Resident #4) gets upset, he will destroy his room and break things in his room. He has in the past thrown a plate at a staff member when he was offered a meal in his room since he did not come up to eat."A practitioner' s progress note in Former Resident #4' s record, dated 3/25/25 read, in part, "(Former Resident #4) is a male patient presenting with symptoms of depression and recent episodes of anger ... Given his history and current presentation, the differential diagnoses includes major depressive disorder, adjustment disorder and possibly bipolar disorder. Recent behavioral changes, including damaging property (microwave incident), raise concerns about impulse control and potential escalation of symptoms."Progress notes and incident reports in Former Resident #4' s record for May and June 2025 revealed the following:On 5/10/25, a staff member knocked on Former Resident #4' s door and offered him breakfast. Former Resident #4 was upset and threw the breakfast plate at the wall, started cussing at staff and threw and slammed things in his room. On 5/21/25, Former Resident #4 destroyed his bedroom. ..

An initial certification survey was completed on 2/9/23. Deficiencies were cited. Based on observation and interview, the facility (residence) failed to ensure participants (residents) had the right to have entrance doors lockable by the individual and shall control access to their quarters.Findings include:On 2/9/23 at approximately 8:00 a.m., an environmental tour of the residence was conducted and revealed four out of the 12 bedrooms in the residence did not have an operational lock, including one bedroom that did not have a door. Eight of the 12 remaining resident doors with locks did not have a keys. On 2/9/2 at approximately 1:00 p.m., the facility co.. Based on observation and interview, the facility (residence) failed to place the policy on participant (resident) rights in a visible location and provide participants' (residents' ) right to privacy.Findings include:On 2/9/23 from approximately 8:00 a.m. to 2:30 p.m., a copy of the resident rights was not in a visible location or made available to residents and visitors. Additionally, during an environmental tour, six out of the eight bathroom doors did not have locks.On 2/9/23 at approximately 2:15 p.m., the assistant administrator stated she was aware the resident rights we.. Based on observation and interview, the facility failed to ensure that each resident is afforded the opportunity to live and receive services in a clean, safe environment. Findings include:1. On 2/9/23 at 8:10 a.m., observations revealed that the residence was actively under construction. Numerous hazards were observed outside the residence, including loose and splintered handrails, trash and debris on the side of the home, and icy walkways. Numerous hazards were also observed inside the residence, both downstairs and upstairs. Hazards included exposed wiring, uncovered outlet.. Based on observation and interviews, the facility failed to ensure that individuals residents had a key or key code to their home, a bedroom door with a lock and key, and lockable bathroom doors.Findings include:1. A tour of the facility on 2/9/23 at 8:04 a.m. revealed that four out of the 12 bedrooms in the facility did not have an operational lock, including one bedroom that did not have a door. In addition, six out of the eight bathrooms did not have lockable doors. 2. On 2/9/23 at 1:56 p.m., observations revealed that the facility did not provide residents with a key or key .. Based on observation, record review and interview, the facility (residence) failed to ensure the monthly schedule of daily recreational and social engagement opportunities were in a visible location so they were always available to participants (residents) and visitors.Findings include:On 2/9/23 from approximately 8:00 a.m. to 2:30 p.m., an environmental tour of the residence revealed no daily recreational and social engagement opportunities in a visible location available to residents and visitors.On 2/9/23 at approximately 2:15 p.m., the assistant administrator stated .. Based on record review and interview, the facility failed to provide residents a legally enforceable lease or residential agreement.Findings include:1. Review of the document, titled Resident Agreement, revealed the agreement was missing elements required of a legally enforceable resident agreement. The agreement failed to specify the duration of the agreement or to specify rent or room-and-board charges.2. An interview was conducted on 2/9/23 at 10:20 a.m. with the assistant administrator. She agreed the residential agreement was missing these required elements of ..

An initial licensure survey was completed on 2/9/23. A deficiency was cited. Based on observation, interview and record review, the residence failed to be in compliance with all applicable regulations.This failure created the potential for mismanagement of the care and services for the residents who would be served by this residence.Findings include:Review of residence policies and records revealed the following deficiencies:-6.3 Each newly hired administrator who does not qualify under Part 6.2, shall be at least 21 years of age, possess a high school diploma or equivalent, and at least one year of experience supervising the delivery of personal care services that include activities of daily living. If the administrator does not have the required one year of experience supervising the delivery of personal care services including activities of daily living, they shall demonstrate they have one or more of the following:(A) An active, unrestricted Colorado nursing home administrator license;(B) An active, unrestricted Colorado registered nurse license plus at least six (6) months of work experience in health care during the previous ten (10)-year period;(C) An active, unrestricted Colorado licensed practical nurse license plus at least one year of work experience in health care during the previous ten (10)-year period;(D) A bachelor' s degree with emphasis in health care or human services plus at least one year of work experience in health care during the previous ten (10)-year period;(E) An associate' s degree with emphasis in health care or human services plus at least two (2) years of work experience in health care during the previous ten (10)-year period;(F) Thirty (30) credit hours from an accredited college or university with an emphasis in health care or human services plus three (3) years of work experience in health care during the previous ten (10)-year period;(G) Five (5) or more years of management or supervisory work in the field of geriatrics, human services, or providing care for the physically and/or cognitively disabled during the previous ten (10)-year period; or(H) A college degree in any field plus two (2) years of health car..