VI at Highlands Ranch Assisted Living

A relicensure survey with complaint #CO40262 was completed on 1/6/26. A deficiency was cited. Based on record review and interviews, the residence failed to discharge a resident who needed more services than could be routinely provided by the residence, affecting one of five sample residents ( #4). Specifically, Resident #4 was admitted to the residence on 3/23/25 with a history of repeated falls. Resident #4 had nine falls from 10/1/25 to 1/4/26. Seven of the falls resulted in head injuries, broken bones, skin tears, abrasions, hematomas, and/or pain. Residence staff were aware of fall interventions that had been implemented between each of Resident #4' s falls; however, the interventions were ineffective. On 1/4/26, Resident #4 was sent to the emergency department (ED) for stitches, and a computed tomography (CT) scan was performed to rule out bleeding. Further, the laceration to the back of the head was glued. The residence implemented the following interventions: Occupational Therapy (OT) for muscle strength, leaving the bathroom light on at night, utilization of a call light pendant, call light reminders, encouraging resident to use handrails in hallway, non skid socks, stand by assist, 1:1 showering, staff to remind resident to sit when dressing or undressing, and stand by assist with transfers. The residence declined to discuss each intervention and why it failed. Further, Resident #4' s practitioner stated that the residence probably should have dis.. 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 7.12.10 Each resident care plan shall: (B) Reflect the most current assessment information; (C) Promote resident choice, mobility, independence and safety14.21 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.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.18.1 Each assisted living residence shall have a confidential health information record for each resident and maintain it in a manner that ensures accuracy of information.21.2 The assisted living residence grounds shall be maintained to protect residents from slopes, holes or other hazards, and shall be consistent with any landscape plan approved by the local jurisdiction.