Casey's Pond Senior Living

In the surveyor’s words

From the most serious findings on record at Casey's Pond Senior Living, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jul 15, 2026

  Based on record review and interviews, the facility failed to identify a change of condition and notify the physician when needed for one (#59) of three residents reviewed for change of condition out of 25 sample residents.Resident #59 was admitted to the facility on [DATE] with a history of acute and chronic respiratory failure, systemic inflammatory response syndrome, and heart failure.On 7/12/25, Resident #59 completed and signed a Colorado Medical Orders for Scope of Treatment (MOST) form. The MOST form documented Resident #59 desired no cardiopulmonary resuscitation (CPR) with selective treatment, that included transfer to the hospital if indicated.On 2/21/26 at 4:43 p.m. […]

• No harm, potential for more than minimal, patternF761Jul 15, 2026

  Based on observations, record review and interviews, the facility failed to ensure proper storage of medications for one of one medication storage rooms and two of three medication storage carts.Specifically, the facility failed to:-Ensure expired medications were disposed of; and,-Ensure medications were contained in the original packaging.Findings include:I. Facility policy and procedureThe Medication Storage policy and procedure, dated 6/30/25, was provided by the nursing home administrator (NHA) on 7/16/26 at 11:27 a.m. It read in pertinent part, It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/or medication rooms according to the manufacturer's recommendations. […]

• No harm, potential for more than minimal, patternF880Jan 7, 2021

  Based on observations, record review and interviews, the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection such as COVID-19 in two of three resident neighborhoods. Specifically, the facility failed to ensure residents were offered, encouraged and provided hand hygiene prior to eating their meals. Findings include: I. […]

• No harm, potential for more than minimal, isolatedF605Jul 15, 2026

  Based on observations, record review and interviews, the facility failed to ensure residents were free from chemical restraints for two (#58 and #45) of six residents out of 25 sample residents. Specifically, the facility failed to: -Ensure Resident #58 and Resident #45 were offered non-pharmacological interventions prior to administering as-needed (PRN) antipsychotic medications; and, -Ensure Resident #58's representative consented to increasing the dose of an antipsychotic medication.Findings include: I. Facility policy and procedure The Psychotropic Medication Management policy, revised [DATE], was provided by the nursing home administrator (NHA) on [DATE] at 11:27 a.m. […]

• No harm, potential for more than minimal, isolatedF658Jul 15, 2026

  Based on observations, record review and interviews, the facility failed to ensure two (#3 and #4) of three residents out of 25 sample residents were provided services that met professional standards of quality. Specifically, the facility failed to: -Ensure the manufacturer's recommendations were followed for Resident #3's air mattress; and, -Ensure the manufacturer's recommendations were followed for Resident #4's wander guard (a wearable safety device).Findings include: I. Failed to ensure the manufacturer's recommendations were followed for Resident #3's air mattressA. […]