Center at Lowry, LLC

In the surveyor’s words

From the most serious findings on record at Center at Lowry, LLC, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Feb 23, 2024

  Based on observations, record reviews, and interviews, the facility failed to ensure food was prepared, distributed, and served under sanitary conditions in the kitchen to prevent the spread of foodborne pathogens. I. Observations, interviews, and record review revealed the facility failed to ensure for the last several months, that cookware, drinkware, dishware, and flatware were sufficiently sanitized over the last several months. The dietary manager (DM) reported the fuse to the electrical breaker was insufficient and shorted out in the facility's high-temperature dishwashing machine on three occasions. The facility changed from a high-temperature process to a low-temperature process by making makeshift modifications to the dishwashing machine. […]

• Actual harm, isolatedF689Jul 15, 2025

  Based on record review and interviews, the facility failed to ensure residents received adequate supervision to prevent accidents for one (#1) of three residents reviewed for accidents out of three sample residents.Resident #1 was admitted on [DATE] with diagnoses of metabolic encephalopathy (a change in how the brain works), weakness, difficulty in walking, heart failure and unspecified dementia.On 6/18/25 a nursing staff member documented Resident #1 was wandering, angry and saying he wanted to leave. The facility initiated a care plan for wandering on 6/19/25, however, the care plan did not identify the resident was at risk for elopement, despite the resident indicating he wanted to leave. […]

• No harm, potential for more than minimal, widespreadF812Apr 2, 2026

  Based on observations and interviews the facility failed to distribute food in a sanitary manner in the main kitchen. Specifically, the facility failed to ensure employees performed hand hygiene appropriately during meal service. Findings include:I. Professional referenceThe Colorado Retail Food Regulations, (3/16/24), retrieved on 4/6/26, read in pertinent part, Food employees shall clean their hands and exposed portions of their arms immediately before engaging in food preparation, including working with exposed food, clean equipment and utensils, and unwrapped single-service and single-use articles and: after touching bare human body parts other than clean hands and clean, exposed portions of arms; after using the toilet room; after coughing, sneezing, using a handkerchief or disposable… […]

• No harm, potential for more than minimal, patternF658Dec 10, 2025

  Based on observations, record review and interviews, the facility failed to ensure four (#1, #3, #2 and #4) of five residents out of 12 sample residents were provided services that met professional standards of quality. Specifically, the facility failed to: -Ensure staff followed the physician's orders for Resident #1's anti-fungal medication;-Ensure staff followed the physician's orders for Resident #3's skin treatment; and, -Ensure staff obtained a physician's order before providing skin treatment for Resident #2 and Resident #4.Findings include: I. […]

• No harm, potential for more than minimal, patternF880Feb 23, 2024

  Based on observations and interviews the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection for one of two units. Specifically, the facility failed to: -Ensure insulin (medication used for blood sugar control) pens were cleaned prior to administration of insulin to a resident; -Ensure staff donned personal protective equipment (PPE) properly; -Ensure staff did not cause cross contamination from COVID-19 positive resident rooms; and, -Ensure visitors donned PPE prior to entering a COVID-19 positive resident room. Findings include: I. Medication administration failures A. […]