A list of the most recent deficiencies for Neurorestorative Colorado. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-28 | 2023-12-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-28 | 2023-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-28 | 2023-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-28 | 2023-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-28 | 2023-10-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-28 | 2023-10-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-28 | 2023-10-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-28 | 2023-10-26 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2023-09-28 | 2023-10-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-28 | 2023-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-28 | 2023-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-28 | 2023-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-09-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-08-31 | 2023-09-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-08-31 | 2023-09-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-01 | 2021-11-22 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-10 | 2020-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-10 | 2020-04-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-03-10 | 2020-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-12 | 2020-03-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-02-12 | 2020-03-06 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-12 | 2020-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-06 | 2019-02-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-24 | 2019-02-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-06 | 2019-02-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-24 | 2019-02-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-06 | 2019-02-08 | N |
