Canon Lodge Care Center

In the surveyor’s words

From the most serious findings on record at Canon Lodge Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 28, 2023

  Based on observations, interviews and record review, the facility failed to store, distribute and serve food in a sanitary manner in the main kitchen. Specifically, the facility failed to: -Ensure stored kitchen equipment were clean and sanitary; and, -Ensure systems were in place to prevent compromised food safety through proper staff training. Findings include: I. Failure to ensure stored kitchen equipment were clean and sanitary A. Professional reference The Colorado Department of Public Health and Environment (2019) The Colorado Retail Food Establishment Rules and Regulations, https://www.colorado.gov/pacific/sites/default/files/DEHS_RetailFd_6CCR10102_RFFC_EffJan2019.pdf. […]

• No harm, potential for more than minimal, patternF880Aug 13, 2025

  Based on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development of transmission of infectious disease.Specifically the facility failed to:-Ensure housekeeping staff followed appropriate hand hygiene processes when cleaning resident rooms;-Ensure housekeeping staff changed the mop head in a multiple resident room; and,-Ensure enhanced barrier precautions (EBP) were followed. Findings include: I. Housekeeping failures A. Facility policy and procedure The Daily Room Cleaning policy, revised 2/24/22, was provided by the nursing home administrator (NHA) on 8/14/25 at 1:15 p.m. […]

• No harm, potential for more than minimal, patternF660Dec 4, 2024

  Based on interviews and record reviews, the facility failed to ensure an effective discharge planning process for three (#8, #6 and #7) out of four residents reviewed out of 14 sample residents. Specifically, the facility failed to: -Ensure the discharge planning process was documented in Resident #8, Resident #6 and Resident #7's medical record; and, -Ensure the interdisciplinary team was involved in the discharge planning process for Resident #8, Resident #6 and Resident #7. Findings include: I. Resident #8 A. Resident status Resident #8, age 76, was admitted on [DATE] and discharged home on 9/4/24. According to the September 2024 CPO diagnoses included retention of urine, hypertension, type 2 diabetes without complications and muscle weakness. […]

• No harm, potential for more than minimal, patternF676Dec 4, 2024

  Based on observations, record review and interviews, the facility failed to provide care and services for an activity of daily living (ADL) for four (#13, #5, #9 and #14) out of five residents reviewed out of 14 sample residents. Specifically, the facility failed to ensure meal assistance was provided for Resident #5, Resident #9, Resident #13 and Resident #14, who required physical assistance and encouragement with food intake. Findings include: I. Resident #13 A. Resident status Resident #13, age 77, was admitted on [DATE] and readmitted on [DATE]. […]

• No harm, potential for more than minimal, patternF565Sep 28, 2023

  Based on record review and interviews, the facility failed to ensure views, grievances and recommendations were considered for resident council members. Specifically, the facility failed to: -Effectively address, resolve and demonstrate the facility's response to grievances brought up in resident council; and, -Ensure resident council meetings were meeting the views and agendia desired by the resident council members. Findings include: I. Facility policy and procedure The Resident Council policy, revised 10/6/22, was provided by the nursing home administrator (NHA) on 9/26/23. […]