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Deficiency Records for Pikes Peak Post Acute
View the most recent health deficiencies and inspection results for Pikes Peak Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pikes Peak Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-20 | 2025-12-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-11-20 | 2025-12-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-30 | 2025-02-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-01-30 | 2025-02-18 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-01-30 | 2025-02-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-30 | 2025-02-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-30 | 2025-02-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-01-30 | 2025-02-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-30 | 2025-02-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-01-30 | 2025-02-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-30 | 2025-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-30 | 2025-02-18 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-01-30 | 2025-02-18 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-17 | 2024-11-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-17 | 2024-11-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-17 | 2024-09-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-14 | 2024-04-12 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-09-05 | 2023-12-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-29 | 2023-11-30 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-11-29 | 2023-11-30 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-29 | 2023-11-30 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-09-05 | 2023-11-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-05 | 2023-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-05 | 2023-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-05 | 2023-11-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-05 | 2023-11-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-05 | 2023-11-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-05 | 2023-11-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-05 | 2023-11-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-05 | 2023-11-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-09-05 | 2023-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-05 | 2023-09-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-05 | 2023-09-27 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-09-05 | 2023-09-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-05 | 2023-09-27 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-05 | 2023-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-05 | 2023-09-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-05 | 2023-09-27 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-09-05 | 2023-09-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-05 | 2023-09-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-05 | 2023-09-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-05 | 2023-09-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-10 | 2022-07-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-10 | 2022-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-10 | 2022-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-07-12 | N |