Life Care Center of Colorado Springs

In the surveyor’s words

From the most serious findings on record at Life Care Center of Colorado Springs, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 9, 2025

  Based on record review and interviews, the facility failed to ensure residents received adequate supervision and were kept free from elopement for one (#1) of three residents at risk for elopement out of three sample residents.Specifically, the facility failed to provide Resident #1 with the supervision necessary to prevent elopement. Resident #1, who had moderate cognitive impairments and had diagnoses of aphasia and encephalopathy, had a history of wandering and required an escort to his appointment off of the facility's property.On 9/9/25 at approximately 1:00 p.m. Resident #1 was scheduled for pickup by an outside medical transportation company. The resident was taken to his appointment by the transportation driver and escorted into the building. […]

• Actual harm, isolatedF689Feb 26, 2026

  Based on observations, record review and interviews, the facility failed to ensure one (#18) of three residents reviewed for accidents out of 44 sample residents received adequate supervision to prevent accidents. Resident #18 was admitted to the facility on [DATE] with diagnoses of traumatic subdural hemorrhage (bleeding near the brain) with loss of consciousness status unknown, seizures, generalized muscle weakness, cognitive communication deficit, unspecified dementia and history of falls. Resident #18 was identified as a high fall risk. On 11/26/25, Resident #18 sustained an unwitnessed fall. […]

• No harm, potential for more than minimal, widespreadF880Oct 14, 2021

  Based on observations, interviews, and record review, the facility failed to have an effective infection control program. Specifically, the facility failed to: -Ensure staff offered hand sanitation prior to resident meals; -Perform appropriate source control for staff and visitors; and, -Ensure housekeeping staff completed proper hand hygiene during cleaning of resident rooms. Findings include: I. Staff not offering hand sanitation prior to serving residents their meals A. Professional reference The Centers for Disease Control (CDC) Hand Hygiene updated 5/17/2020, retrieved on 10/19/21 from: https://www.cdc.gov/coronavirus/2019-ncov/hcp/hand-hygiene.html, revealed in part, Hand hygiene is an important part of the U.S. response to the international emergence of COVID-19. […]

• No harm, potential for more than minimal, patternF880Feb 26, 2026

  Based on observations, record review 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 diseases and infection on three of three units.Specifically, the facility failed to: -Ensure appropriate personal protective equipment (PPE) was worn by staff while providing care for Resident #11, Resident #9 and Resident #109, who were all on enhanced barrier precautions (EBP); and,-Staff performed appropriate hand hygiene during wound care for Resident #9.Findings include: I. […]

• No harm, potential for more than minimal, patternF677Oct 14, 2021

  Based on observations, record review and interviews, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for six (#13, #272, #61, #17, #44 and #21) of seven residents reviewed out of 42 sample residents. Specifically, the facility failed to ensure: -Residents #13, #272 and #61 received assistance with showers as scheduled; and -Residents #17, #44 and #21 were repositioned in their wheelchairs timely. Findings include: I. Showers A. Resident #13 1. Resident status Resident #13, age 91, was admitted on [DATE]. According to the October 2021 computerized physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]