Villas at Sunny Acres, the

A recertification survey with complaints revisit was completed on 8/26/25 for the previous deficiency cited on 5/20/25. The residence is in compliance with all regulations surveyed. The deficiency cited for Event ZRI111 was cited prior to the regulation revision that was implemented on 8/14/25. 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 recertification survey with complaints #CO35404, #CO38754 was completed on 5/20/25. A deficiency was cited. Based on observation, interview and record review the facility (residence) failed to maintain a comfortable temperature throughout the residence and members' (residents' ) rooms, sufficient to accommodate the use and needs of the residents, never to fall outside the range of 68 degrees to 76 degrees Fahrenheit (F), affecting seven current residents (#2, #7, #9-#13). Findings include:On 5/20/25, during the onsite survey, areas of the residence were above 76 degrees Fahrenheit (F), and limited ventilation was circulating as follows: At 10:46 a.m., Resident #10' s room was 83 degrees F.At 10:48 a.m., the hallway was 81 degrees F within approximately one foot of a portable air conditioning (AC) unit.At 10:49 a.m., the activity room was approximately 81 degrees, three feet from the AC vent.Heating, ventilation, and air conditioning (HVAC) documents, dated 5/5/25 and 5/14/25, read in part that an HVAC company provided the residence with invoices to repair the AC unit.On 5/10/25 through 5/14/25, written grievances by Residents #2, #7, and #11-#13 read in part that the residents' rooms were uncomfortably hot due to the disrepair of the central AC. The residence staff and residents signed that the grievances were resolved on 5/19/25.On 5/19/25 and 5/20/25, during the onsite survey, Residents #2, #7, and #9-#13 stated that they were uncomfortably hot in their roo.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary. The facility was advised it must review and maintain the following processes in accordance with existing program regulations found at 10 CCR 2505-10.8.7505.F.2 Member EngagementIn consultation with Members served, Alternative Care Facility Provider Agencies shall provide social and recreational engagement opportunities both within and outside the setting.

A relicensure survey with complaints #CO35403, #CO37337, #CO37789, #CO38753 was completed on 5/20/25. Deficiencies were cited. Based on observation, interview, and record review, the residence failed to have sufficient ventilation to meet the needs of seven current residents (#2, #7, #9-#13). (Cross-reference T2810)Findings include:On 5/20/25, during the onsite survey, areas of the residence were above 76 degrees Fahrenheit (F), and limited ventilation was circulating as follows: At 10:46 a.m., Resident #10' s room was 83 degrees F.At 10:48 a.m., the hallway was 81 degrees F within approximately one foot of a portable air conditioning (AC) unit.At 10:49 a.m., the activity room was approximately 81 degrees, three feet from the AC vent.Heating, ventilation, and air conditioning (HVAC) documents, dated 5/5/25 and 5/14/25, read in part that an HVAC company provided the residence with invoices to repair the AC unit.On 5/10/25 through 5/14/25, written grievances by Residents #2, #7, and #11-#13 read in part that the residents' rooms were uncomfortably hot due to the disrepair of the central AC. The residence staff and residents signed that the grievance.. Based on observation, record review and interview, the residence failed to have an effective pest control policy to ensure eradication of pests including bed bugs, affecting 35 residents. (Cross-reference T2620)Specifically, the residence had a history of bed bug infestations. During the onsite survey, the residence failed to have an effective pest control policy and as a result the bed bug infestation continued. Residents #2, #6, #7, #9, and #10 reported ongoing fear and anxiety related to the risk of ongoing bed bug infestations at the residence. As a result, the residents kept the doors to their rooms closed despite relying on portable air conditioners in the hallway while the central air conditioning was not operating.Finding include:1. Residence PolicyThe residence' s August 2021 Infection Control policy read in part that the residence provided an environment that was free of pests.2. ObservationsOn 5/19/25 at 8:28 a.m., a white powder was on the floor outside the door leading into Resident #2' s bedroom.On 5/19/25 at 10:41 a.m... 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 7.12.20 The assisted living residence shall provide all residents with regular opportunities to participate in structured engagement and shall support the pursuit of each resident' s interests.22.8 There shall be a sufficient supply of hot water during peak usage demand.