Fowler Health Care

In the surveyor’s words

From the most serious findings on record at Fowler Health Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 15, 2026

  Based on observations and interviews, the facility failed to store, distribute, and serve food in a sanitary manner in two of two kitchen refrigerators.Specifically, the facility failed to ensure nutritional beverages were labeled and dated when opened in the kitchen nourishment refrigerator and the walk-in refrigerator. Findings include:I. Professional referenceThe Colorado Retail Food Establishment Rules and Regulations, (3/16/24), retrieved on 4/22/26 read in pertinent part, A date marking system that meets the criteria may include: Using a method approved by the Department for refrigerated, ready-to eat potentially hazardous food (time/temperature control for safety food) that is frequently rewrapped, such as lunch meat or a roast, or for which date marking is impractical, such as soft… […]

• No harm, potential for more than minimal, widespreadF851Mar 13, 2024

  Based on record review and interviews, the facility failed to ensure mandatory submission of direct care staffing based on payroll roll data. Specifically, the facility failed to ensure staffing data entered in the Payroll-Based Journal (PBJ) system was accurate. Findings include: The facility had a change of staff during the first quarter. I. Record review The PBJ stuffing report for quarter one (10/1/23 to 12/31/23) showed the following triggered area: -Failed to Submit Data for the Quarter II. Interview The nursing home administrator (NHA) was interviewed on 3/13/24 at 10:45 a.m. She said during the last quarter there had been a staff change. She said she tried to submit the data, however, it was not submitted correctly. […]

• No harm, potential for more than minimal, patternF695Apr 15, 2026

  Based on observations, record reviews and interviews, the facility failed to provide necessary respiratory care and services consistent with professional standards of practice and the comprehensive person-centered care plan for four (#4, #7, #22 and #2) of six residents reviewed for respiratory care out of 29 sample residents.Specifically, the facility failed to ensure that Resident #4, Resident #7, Resident #22 and Resident #2 received oxygen therapy in accordance with their physician's orders.Findings include: I. Professional reference According to Nursing Skills, Open Resources for Nursing (Open RN), Ernstmeyer K, [NAME] E, editors. […]

• No harm, potential for more than minimal, patternF550Mar 13, 2024

  Based on observations, record review and interviews, the facility failed to ensure care for residents was provided in a manner and in an environment that maintained or enhanced the residents' dignity and respect in full recognition of their individuality. Specifically, the facility failed to ensure an adequate system was in place to provide meal services in a timely fashion to residents waiting to be served in the dining room. Findings include: I. Facility policy and procedure The Respect and Dignity policy, revised February 2021 was provided by the nursing home administrator (NHA) on 3/13/24 at 3:54 p.m., It read in pertinent part, Each resident shall be cared for in a manner that promotes and enhances his or her sense of well-being, level of satisfaction with life, and feelings of… […]

• No harm, potential for more than minimal, patternF580Mar 13, 2024

  Based on record review and interviews, the facility failed to notify the provider according to physician orders for one (#28) of five residents reviewed for unnecessary medications out of 17 sample residents. Specifically, the facility failed to notify and document Resident #28's elevated blood sugar levels to the provider as directed on the physician's order. Findings include: I. Facility policy and procedures The Hypoglycemia or Hyperglycemia policy and guidelines, revised 2011, was provided by the nursing home administrator (NHA) on 3/13/24 at 3:54 p.m. The policy read in pertinent part, The facility would ensure medications were administered per established physician's parameters. Staff would document all labs/treatments in nurse's notes and on the medication sheets. II. […]