Sunrise at Cherry Creek

A licensure complaint, prompted by #CO41352, was completed on 1/21/26. A deficiency was cited. Based on interviews and record reviews, the residence failed to provide personal services and protective oversight affecting one former resident (#1).Specifically, Former Resident #1 had a diagnosis of unspecified dementia that had declined over the previous several months. At the time of the incident, Former Resident #1 resided in the assisted living portion of the residence and experienced multiple episodes of confusion and attempts to leave the residence. On 11/7/25, the residence scheduled a meeting with Former Resident #1' s family to discuss a potential transfer to the memory care unit. On 11/13/25, the residence met with the resident' s power of attorney (POA) and discussed concerns regarding the resident' s wandering behaviors and safety, stating the residence would attempt interventions. The residence implemented interventions such as redirection and talking with the resident; however, these measures were unsuccessful, and the resident' s attempts to elope increased. On 11/17/25, the residence updated the resident' s care plan; however, the care plan did not include interventions specifically addressing elopement risk. Former Resident #1 continued to attempt to elope. The Administrator stated the POA did not approve the resident' s transfer to the memory care unit until 11/22/25. The Administrator also stated the family was unable to pay for a one-to-one caregiver, and the residence did not provide one while the resident awaited transfer. On 11/26/25, a progress note documented that the resident would be moved to the memory care unit "next week." However, Former Resident #1 had not been moved to memory care before the incident. On 12/18/25, a progress note documented that Former Resident #1 had eloped from the residence. Former Resident #1 left the residence at 9:27 p.m., and staff did not realize she was missing until 11:10 p.m.. The residence contacted local law enforcement and located Former Resident #1 at a hospital, where she was diagnosed with a broken thumb and a head injury. The death certificate dated 12/20..

A revisit survey was completed on 10/1/25 for previous deficiencies cited on 9/9/25. 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 #CO40882, was completed on 9/9/25. Deficiencies were cited. Based on observation, record review, and interviews, the residence failed to provide training relevant to staff members ' duties and responsibilities prior to working independently for three of the five sample staff (#1, #4, #5), affecting 72 current residents.Findings Include:1. ObservationObservation on 9/9/25 at 9:55 a.m. revealed Staff #1 providing direct care to Resident #1.2. Record ReviewThe personnel file for Staff #1 revealed a hire date of 6/16/23; however, the file failed to include training on their specific duties and responsibilities prior to working independently.Furthermore, the personnel files for Staff #4 and #5 revealed similar deficient practices.3. InterviewsOn 9/9/25 at 2:15 p.m., the business office coordinator acknowledged that Staff #1' s personnel file was ve.. Based on observations, record review, and interviews, the residence failed to ensure sufficient staff were available to provide two-person assistance with mechanical lift transfers as required by resident care plans, for 10 current residents who required a mechanical lift. (Cross-reference U0682)Findings Include:1. ObservationObservation on 9/9/25 at 9:55 a.m. revealed Staff #1 left Resident #1 unattended in her room on the bed while searching for another staff member to assist with a mechanical lift transfer. The search lasted three minutes.2. Record ReviewA care plan, dated 4/4/25, for Resident #3, admitted on 4/3/25, revealed that she required full mechanical lift assistance with two-person physical assistance using a Hoyer lift.A care plan, dated 6/6/25, for Resident #6, admitted on 6/20/24, r.. Based on record review, interviews, and observation, the residence failed to ensure personal care workers were trained, evaluated, and documented as competent by an appropriately skilled professional before assisting residents with mechanical lift transfers for two of the five sample staff (#4, #5), affecting 10 current residents who require a mechanical lift for transfers. (Cross-reference U0722)Findings Include:1. Record ReviewPersonnel files for:Staff #4 revealed a hire date of 8/5/25; however, the files contained no mechanical Hoyer lift training competency.Staff #5 revealed a hire date of 3/19/24; however, the files contained no mechanical Hoyer lift training competency.A residence schedule for August 2025 read in part:Staff #4 worked at the residence on: 8/6-8/7/25, 8/10-8/14/25, 8/1.. 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, Chapter 7.17.15 Each assisted living residence shall have a designated dining area with tables and chairs that all residents are able to access and that is sufficient in size to comfortably accommodate all residents. Residents shall be given the opportunity to choose where and with whom to sit.

A revisit survey was completed on 8/13/25 for previous deficiencies cited on 5/7/25. 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 relicensure survey was completed on 5/7/25. Deficiencies were cited. Based on observation and interviews, the residence failed to provide toilet paper and paper towels in each common bathroom, affecting 21 current residents in a secure environment. Findings include:On 5/7/25 at approximately 7:29 a.m., an environmental tour of the residence revealed that a common bathroom near the dining area failed to have paper towels or any other hand drying device available. On 5/7/25 at approximately 4:30 p.m., the administrator stated her expectations were that all common bathrooms had toilet paper and paper towels. She was aware of the requirement for there to be toilet paper and paper towels in each common area bathroom and expected staff to have made it available. Based on record review and interview the residence failed to implement policies and procedures for the identification, reporting, and investigation of injuries of unknown origin, affecting two of seven sample residents (#13, #14). Findings include:1. PoliciesThe residence Incident and Event Reporting policy, dated 6/13/22, read that the ED/designee shall identify and document resident injuries for which the origin of the injury was not observed by or otherwise known by team members, and investigate including determining if the resident knows how the injury occurred.a. When the source of the injury remains undertimed the community will monitor the resident to identify and prevent similar injuries.b. Documentation of the investigation, outcomes, and steps taken shall be retained by the community, such documentation shall be made available for review at the Department' s request per state/province regulations.2. Record ReviewA progress note, dated 3/2/25, read that Resident #14 was found with a bruise to her inner right eye a.. 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, Chapter 7.14.27 No stock medications shall be stored or administered by qualified medication administration persons.(A) All over-the-counter medication prescribed for administration shall be labeled or marked with the individual resident ' s full name.14.28 The assisted living residence shall ensure that qualified medication administration persons are trained in and apply nationally recognized protocols for basic infection control and prevention when preparing and administering medications.18.8 Resident records shall contain, but not be limited to, the following items: (F) Documentation of on-going services provided by external service providers including, but not limited to, caregivers, essential caregivers, aides, podiatrists, physical therapists, hospice and home care services, a..