Parker Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678May 21, 2026

  Based on record review and interviews, the facility failed to provide emergency basic life support and cardiopulmonary resuscitation (CPR) when needed for one (#1) of three residents reviewed for advance directives out of seven sample residents.Resident #1 was admitted to the facility on [DATE] with a history of acute and chronic respiratory failure and aspiration pneumonia.On [DATE], the power of attorney for Resident #1 completed and signed a Colorado Medical Orders for Scope of Treatment (MOST). The MOST form documented Resident #1 desired to receive CPR with full treatment in the event it was required. On [DATE], a physician's order was entered into Resident #1's electronic medical record (EMR) that identified Resident #1 was a full code and should receive CPR. […]

• Actual harm, isolatedF697Mar 12, 2026

  Based on observations, record review and interviews, the facility failed to provide an effective pain management regimen in a manner consistent with professional standards of practice, resident-centered care plans, and resident preferences for one (#64) of three residents out of 62 sample residents. Resident #64, was admitted on [DATE] with a diagnosis including sepsis, acute respiratory failure, congestive heart failure, pneumonia and pressure-induced deep tissue damage of the left ankle. Resident #64 said he experienced pain when the staff were repositioning him. Observations revealed while the staff were repositioning Resident #64, he cried out in pain and asked the staff to stop. […]

• Actual harm, isolatedF689Mar 6, 2025

  Based on observations, record review and interviews the facility failed to ensure two (#7 and #4) of four residents reviewed for accidents out of 13 sample residents received adequate supervision to prevent accidents. Resident #7, who had diagnoses of unspecified dementia, a history of falling and muscle wasting, was admitted to the facility on [DATE]. Between 6/14/24 and 7/21/24, the resident experienced six falls. The facility failed to put effective fall interventions into place after each fall. On 8/7/24, Resident #7 experienced a seventh fall and sustained a laceration on her forehead which resulted in the resident being transferred to the hospital for sutures to the laceration. […]

• Actual harm, isolatedF697Mar 6, 2025

  Based on record review and interviews, the facility failed to ensure one (#5) of four residents had an effective pain management regimen in a manner consistent with professional standards of practice out of 13 sample residents. Resident #5 was admitted to the facility on [DATE] with a diagnosis of low back pain and dementia. The resident was on a scheduled pain regimen, which consisted of Tylenol 1000 milligrams (mg) three times a day and Aspercreme 1% (topical pain medication) to be applied to the resident's right shoulder twice a day. On 1/23/25 at 3:40 a.m. the resident began complaining of excruciating pain to her shoulder, back of both thighs, both knees, calves and hips. […]

• Actual harm, isolatedF686Sep 29, 2022

  Based on observations, interviews, record review, and document and policy review, the facility failed to ensure care and services were provided to prevent new pressure ulcer development for one (Resident #98) of three residents reviewed for pressure ulcers. Specifically, the facility failed to monitor the resident's skin under a knee brace and foot boot every shift as ordered, and the resident developed a stage 3 pressure ulcer to the right calf. Findings included: The facility's undated policy titled Pressure Ulcers/Injuries Overview indicated, Pressure ulcers/injuries occur as a result of intense and/or prolonged pressure or pressure in combination with shear. […]