August Healthcare at Iliff

In the surveyor’s words

From the most serious findings on record at August Healthcare at Iliff, in the surveyor’s own words.

• Actual harm, isolatedF690Mar 23, 2023

  Based on observation, interview, clinical record review and facility documentation, the facility staff failed to ensure that a Resident who received a indwelling (Foley) catheter after admission, was assessed for removal of the catheter as soon as possible for 1 Resident (#'s 21) in a survey sample of 35 Residents. This is harm. The findings included: 1. For Resident #21, the facility staff failed reassess the need of an indwelling (Foley) catheter after Resident #21 had one episode of urinary retention. The resident experienced Urinary Tract Infections (UTIs) that required antibiotics. This is harm. On 3/21/23 at 9:25 AM Resident #21 was observed in her bed with eyes closed resting, the Resident had a Foley with a dignity bag cover in place. […]

• No harm, potential for more than minimal, widespreadF814Mar 18, 2021

  Based on observations, interviews, and review of the facility policy, the facility failed to ensure garbage was properly disposed of and contained in closed dumpsters. Bagged garbage was left out and not immediately placed in a container. Unsanitary conditions and/or uncontained trash increases the likelihood of pest infestations and had the potential to affect all 81 residents residing in the facility at the time of the survey. Findings include: A review of the facility's policy titled, Dispose of Garbage and Refuse, dated 10/2019, stated, It is the center policy all garbage and refuse will be collected and disposed in a safe and efficient manner. […]

• No harm, potential for more than minimal, patternF584Aug 15, 2023

  Based on observation, staff interview, and facility documentation review, the facility staff failed to maintain a clean and safe environment for all of the Resident room floors and common hallway located on the entrance hall of the facility. The findings included: On 8-15-23 at 11:00 a.m., Initial tour of the facility was conducted. Beginning at room [ROOM NUMBER], surveyors found crusted food debris, what appeared to be cracker or cookie crumbs, a pink gelatinous substance, tan droplets, and wet patches lining the entire hallway of Resident's rooms with no wet floor signs deployed. […]

• No harm, potential for more than minimal, patternF812Mar 18, 2021

  Based on observations, interviews, and review of facility policies, the facility failed to store food under sanitary conditions. Specifically, one of two nourishment refrigerators located at the nursing stations in the facility was not clean and contained unlabeled and undated foods. This failure had the potential to affect 51 out of 81 residents in the facility who might consume food stored in the refrigerator on the North Unit. Findings include: Review of the facility's policy titled, Nursing Services Space, dated 08/15/20, stated, If a refrigerator is provided in a nursing station, it will meet the following standards: a. Be located in a clean area not subject to contamination by human waste; and e. […]

• No harm, potential for more than minimal, isolatedF584Jul 30, 2026

  Based on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide a clean and homelike environment for 2 of 36 residents in the survey sample, Residents #14,& 27. 1. For Resident #14 (R14), the facility staff failed to provide a clean and homelike environment. On the most recent minimum data set (MDS), an annual assessment with an assessment reference date (ARD) of 7/7/2026, the resident scored 6 on the brief interview for mental status (BIMS) assessment, indicating they were severely cognitively impaired for making daily decisions. On 7/28/26 at 7:27 AM during the environmental tour, an observation was made of R14's room. Upon entering the room, a strong urine odor was detected. […]