Grace Pointe Cont Care SR Campus, Skilled Nursing

In the surveyor’s words

From the most serious findings on record at Grace Pointe Cont Care SR Campus, Skilled Nursing, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 22, 2025

  Based on observations, record review and interviews, the facility failed to ensure residents had adequate supervision and assistive devices to prevent accidents for one (#3) of five residents reviewed out of five sample residents. Resident #3, who was admitted on [DATE], required the assistance of two staff members when transferring. On the morning of 7/17/25, Resident #3 was found to have a bruise on her right lower extremity. Certified nurse aide (CNA) #4, who discovered the bruise, went and alerted the day shift nurse. Upon assessment, Resident #3 grimaced when the bruise was touched. […]

• Actual harm, isolatedF697Aug 11, 2022

  Based on interviews and record review, the facility failed to manage the pain of one (#6) of two residents reviewed out of 27 sample residents in a manner consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. Resident #6 admitted to the facility on [DATE] with a history of falls, dislocated hip and cervical fracture. The facility failed to reassess the resident's pain after she had a fall on 8/2/22. […]

• No harm, potential for more than minimal, widespreadF812Aug 11, 2022

  Based on observations, interviews and record review the facility failed to store, prepare, distribute and serve food in a sanitary manner in the main kitchen. Specifically, the facility failed to: -Ensure appropriate use of gloves when handling ready-to-eat foods; -Ensure the freezer was functioning properly; -Prevent potential cross-contamination with the ice machine; -Ensure cold food items were held at the proper temperature to reduce the potential risk of foodborne illness; and, -Ensure staff wore masks in the kitchen during a pandemic. I. Ensure appropriate use of gloves when handling ready-to-eat foods A. […]

• No harm, potential for more than minimal, patternF761Feb 26, 2026

  Based on observations, record review and interviews, the facility failed to ensure proper storage of medications in one of two medication storage rooms and two of three medication storage carts.Specifically, the facility failed to:-Ensure medications were labeled with accurate dates opened; and,-Ensure expired medications were removed and discarded from medication carts and storage rooms.Findings include:I. Professional referenceThe United States Food and Drug Administration (USFDA) (10/31/24) Don't Be Tempted to Use Expired Medications, was retrieved on 2/27/26 from https://www.fda.gov/drugs/special-features/dont-be-tempted-use-expired-medicines. […]

• No harm, potential for more than minimal, patternF812May 26, 2021

  Based on observations, record review and interviews, the facility failed to store food in accordance with professional standards in one of three kitchens. Specifically, the facility failed to ensure foods were stored at the proper refrigerator temperatures. Findings include: I. Professional reference Review of the Colorado Retail Food Establishment Rules and Regulations, page 91, effective 1/1/19, revealed in part Except during preparation, cooking, or cooling .time/temperature control for safety food shall be maintained .at 41 degrees Fahrenheit (F) or less. II. Facility policy and procedure Review of the Storing Refrigerated Foods policy, undated, provided by the nursing home administrator (NHA) on 5/25/21 at 3:26 p.m. […]