Clear Creek Care Center

In the surveyor’s words

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

• Actual harm, isolatedF689Oct 20, 2025

  Based on observations, record review and interviews, the facility failed to ensure residents received adequate supervision to prevent accidents for one (#10) of four residents reviewed for accidents out of seven sample residents.Resident #10 was admitted on [DATE] for long term care with a diagnosis of dementia. According to the care plan, Resident #10 was determined to be a high fall risk. On 8/30/25 Resident #10 sustained an unwitnessed fall. The facility updated the resident's care plan to indicate he needed a one-to-one caregiver. However, on 9/3/25 Resident #10 sustained an unwitnessed fall when he was found on the floor in his room with a laceration to his head. Resident #10 was transported to the hospital for further evaluation. […]

• Actual harm, isolatedF550Aug 12, 2021

  Based on resident, staff interviews and record review, the facility failed to ensure a dignified existence was provided for one (#40) of three residents reviewed out of 37 sample residents. Specifically, the facility failed to respond in a timely manner to Resident #40's requests for assistance after incontinence episodes and did not honor her request for a specific agency staff member to not work with her. Due to the agency staff member not providing timely incontinence care on one occasion in June 2021, the resident reported she felt embarrassed, that her health was being jeopardized and that her blood pressure increased. After the resident requested that agency staff member not work with her again, the agency staff member did work with the resident in July 2021. […]

• No harm, potential for more than minimal, widespreadF812Jul 21, 2026

  Based on observations and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the main kitchen, dining room, dry storage room, nutrition rooms and dishroom. Specifically, the facility failed to ensure:-Food was held at a safe temperature;-The kitchen was maintained, in good repair to be able to have a cleanable surface; -Food was labeled with an expiration date and removed when expired; and-Ensure the dishwasher was working effectively. Findings include: I. Failure to hold food at the correct temperatureA. Professional reference The Colorado Department of Public Health and Environment Colorado Retail Food Establishment Rules and Regulations, revised 3/16/24, was retrieved on 7/22/26. […]

• No harm, potential for more than minimal, widespreadF803Mar 21, 2024

  Based on observations and interviews, the facility failed to ensure facility menus met the needs of residents and were followed. Specifically, the facility failed to: -Ensure menu extensions were followed; and, -Ensure residents were provided with all menu options and substitutions were offered when appropriate. Findings include: I. Facility policy and procedure The Menus and Nutrition Adequacy policy and procedure, revised January 2024, was provided by quality mentor (QM) #1 on 3/21/24 at 2:19 p.m. […]

• No harm, potential for more than minimal, widespreadF812Mar 21, 2024

  Based on observations, interviews and record review, the facility failed to store, prepare, distribute and serve food in a sanitary manner. Specifically, the facility failed to: -Ensure kitchen staff prepared and served food in a sanitary environment in the main kitchen; and, -Ensure the two facility ice machines were properly cleaned and sanitized according to the manufacturer's instructions. Findings include: I. Ensure kitchen staff prepared and served food in a sanitary environment in the main kitchen A. Facility policy and procedure The Cleaning and Disinfection of Environmental Surfaces policy, revised August 2019, was provided by quality mentor (QM) #1 on 3/20/24 at 5:43 p.m. […]