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Deficiency Category | Inspection Date: 11/20/24 Complaint Reporting Period: 4/1/24 - 3/31/25 | Inspection Date: 5/24/23 Complaint Reporting Period: 4/1/23 - 3/31/24 | Inspection Date: 3/9/22 Complaint Reporting Period: 4/1/22 - 3/31/23 |
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Emergency Preparedness Deficiencies | |||
Automatic Sprinkler Systems Deficiencies | |||
Building Construction Deficiencies | |||
Services Deficiencies | |||
Corridor Walls and Doors Deficiencies | |||
Egress Deficiencies | |||
Electrical Deficiencies | |||
Emergency Plans and Fire Drills Deficiencies | |||
Fire Alarm Systems Deficiencies | |||
Smoke Deficiencies | |||
Interior Finish Deficiencies | |||
Gas, Vacuum, and Electrical Systems Deficiencies | |||
Hazardous Area Deficiencies | |||
Illumination and Emergency Power Deficiencies | |||
Laboratories Deficiencies | |||
Medical Gases and Anesthetizing Areas Deficiencies | |||
Smoking Regulations Deficiencies | |||
Miscellaneous Deficiencies |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Colorado: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
No Emergency Preparedness Deficiencies were found during this inspection period. |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Meet requirements for sections of health care facilities separated by fire resistive construction. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Some |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
No Egress Deficiencies were found during this inspection period. |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Some |
Properly select, install, inspect, or maintain portable fire extinguishes. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Some |
Install corridor and hallway doors that block smoke. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Few |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Few |
No Interior Finish Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Many |
Have generator or other power source capable of supplying service within 10 seconds. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Some |
Ensure proper usage of power strips and extension cords. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Many |
Have proper medical gas storage and administration areas. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Many |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 11/20/24 | 12/5/24 | 2 - Minimal harm or potential for actual harm | Some |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Colorado: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
No Emergency Preparedness Deficiencies were found during this inspection period. |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have properly installed electrical wiring and gas equipment. | 5/24/23 | 6/15/23 | 2 - Minimal harm or potential for actual harm | Few |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 5/24/23 | 6/9/23 | 2 - Minimal harm or potential for actual harm | Few |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 5/24/23 | 5/26/23 | 2 - Minimal harm or potential for actual harm | Few |
Provide properly protected cooking facilities. | 5/24/23 | 6/5/23 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 5/24/23 | 5/31/23 | 2 - Minimal harm or potential for actual harm | Few |
No Interior Finish Deficiencies were found during this inspection period. |
No Gas, Vacuum, and Electrical Systems Deficiencies were found during this inspection period. |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
No Miscellaneous Deficiencies were found during this inspection period. |
Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in Colorado: | |
Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
No Emergency Preparedness Deficiencies were found during this inspection period. |
No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
No Building Construction Deficiencies were found during this inspection period. |
No Services Deficiencies were found during this inspection period. |
No Corridor Walls and Doors Deficiencies were found during this inspection period. |
No Egress Deficiencies were found during this inspection period. |
No Electrical Deficiencies were found during this inspection period. |
No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
No Fire Alarm Systems Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 3/9/22 | 3/22/22 | 2 - Minimal harm or potential for actual harm | Few |
Provide properly protected cooking facilities. | 3/9/22 | 3/22/22 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 3/9/22 | 3/18/22 | 2 - Minimal harm or potential for actual harm | Many |
No Interior Finish Deficiencies were found during this inspection period. |
No Gas, Vacuum, and Electrical Systems Deficiencies were found during this inspection period. |
No Hazardous Area Deficiencies were found during this inspection period. |
No Illumination and Emergency Power Deficiencies were found during this inspection period. |
No Laboratories Deficiencies were found during this inspection period. |
No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
No Smoking Regulations Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 3/9/22 | 3/29/22 | 2 - Minimal harm or potential for actual harm | Many |
Have restrictions on the use of highly flammable decorations. | 3/9/22 | 3/30/22 | 2 - Minimal harm or potential for actual harm | Many |
This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |