Eagle Ridge Post Acute

In the surveyor’s words

From the most serious findings on record at Eagle Ridge Post Acute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Feb 4, 2026

  Based on observation, record review and interviews, the facility failed to ensure one resident (#3) of three sample residents, was free from significant medication errors out of 13 sample residents.Resident #3 was admitted to the facility on [DATE] with a diagnosis of type 1 diabetes mellitus with a history of experiencing low blood glucose levels. Resident #3 had a physician's order to receive 29 units of Lantus (insulin glargine - long acting insulin) injected subcutaneously each day at bedtime. The resident had another physician's order for Humalog insulin (lispro - short acting insulin) 100 units per milliliters (ml) injected daily at 6:00 a.m., 11:00 a.m. and 4:00 p.m. On 10/22/25 at 7:33 p.m. […]

• Actual harm, isolatedF806Dec 9, 2025

  Based on interviews and record review, the facility failed to serve food that accommodates resident allergies, intolerances, and preferences for one (#1) of five residents reviewed out of five sample residents.Specifically, the facility failed to ensure Resident #1 was not served food the resident was allergic to, causing an allergic reaction to Resident #1 which required hospitalization for anaphylactic shock (a severe, potentially life-threatening allergic reaction that can cause a range of symptoms affecting multiple body systems, including skin, respiratory, and cardiovascular).Resident #1 was admitted on [DATE] for long term care with diagnoses of unspecified lack of expected physiological development in childhood, cognitive communication deficit, muscle weakness, lack of coordination… […]

• Actual harm, isolatedF692Jun 12, 2024

  Based on observations, record review and interviews, the facility failed to ensure one (#54) of five residents out of 45 sample residents received the care and services necessary to meet their nutrition needs and to maintain their highest level of physical well-being. Resident #54 was admitted to the facility for long term care on 11/10/23 with diagnoses of chronic obstructive pulmonary disease (COPD), diabetes and generalized muscle weakness. The resident was initially weighed on 11/19/23 and weighed 149 pounds (lbs). The resident was admitted to the hospital from 1/2/24 to 1/8/24 for electrolyte imbalances. Upon readmission to the facility the resident weighed 135.2 lbs. On 1/22/24 and 1/29/24 the resident weighed 123.6 lbs. On 2/5/24 the resident weighed 123 lbs. […]

• No harm, potential for more than minimal, widespreadF812Jun 16, 2026

  Based on observations, record review and interviews, the facility failed to ensure food was stored, prepared, distributed and served under sanitary conditions in the main kitchen.Specifically, the facility failed to ensure staff followed appropriate hand hygiene practices during the meal service.Findings include:I. Professional referenceAccording to the Colorado Retail Food Regulations (3/16/24), retrieved on 6/23/26, Food employees shall clean their hands and exposed portions of their arms immediately as specified under S 2-301.12 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;… […]

• No harm, potential for more than minimal, widespreadF940Feb 4, 2026

  Based on record review and interviews, the facility failed to provide, implement and maintain an effective training program for new and existing staff. Specifically the facility failed to provide:-All staff the required annual abuse identification, abuse prevention and abuse reporting training, for 75 out of 83 staff; -All staff dementia management training, for 39 out of 83 staff;-All staff resident rights training, for 31 out of 83 staff; -All staff quality assurance and performance improvement (QAPI) training, for 30 out of 83 staff;-All direct care staff effective communication training, for 49 out of 49 staff; -All staff infection control training, for 20 out of 83 staff members; -All staff compliance and ethics training, for 16 out of 83 staff; and, - All direct care staff behavioral… […]