Rehabilitation and Nursing Center of the Rockies

In the surveyor’s words

From the most serious findings on record at Rehabilitation and Nursing Center of the Rockies, in the surveyor’s own words.

• Immediate jeopardy, isolatedF610Jun 26, 2025

  IV. Resident #4 - The facility failed to initiate a thorough investigation of an injury of unknown origin. A. Resident #4 1. Resident status Resident #4, age greater than 65, was admitted on [DATE]. According to the June 2025 CPO, diagnoses included systemic involvement of connective tissue (autoimmune disease), arthritis, edema, and history of stroke. The 6/3/25 MDS assessment revealed Resident #4 was cognitively intact with a BIMS score of 14 out of 15. The resident required total assistance (fully dependent) from the staff for toileting, dressing, bed mobility (the ability to sit up or roll from side to side while lying), and all transfers. The resident required (two-person) extensive assistance from the staff for bathing and personal hygiene. […]

• Actual harm, isolatedF689Jun 26, 2025

  Based on observations, record review and interviews, the facility failed to ensure two (#4 and #207) of eight residents reviewed for accident hazards received adequate supervision out of 37 sample residents. Resident #4 was admitted to the facility for long term care on 4/5/24 with diagnoses of systemic involvement of connective tissue (autoimmune disease), arthritis, edema and history of stroke. Resident #4 was identified as cognitively intact and was able to transfer with a sit-to-stand mechanical lift (a lift device used to enhance a resident's dignity and independence by helping residents who can bear weight and participate to transition from a seated to a standing position). […]

• No harm, potential for more than minimal, patternF565Jun 26, 2025

  Based on record review and interviews, the facility failed to provide response, action and rationale to residents involved in group grievances. Specifically, the facility failed to effectively address, resolve and follow up with residents on the outcomes and resolutions of grievances expressed. Findings include: I. Facility policy and procedure The Grievance policy, reviewed June 2025, was provided by the nursing home administrator (NHA) on 6/27/25 at 4:42 p.m. It read in pertinent part, The grievance official or designee responds to the individual expressing the concern within three working days of the initial concern to acknowledge receipt and describe steps taken in resolution. II. […]

• No harm, potential for more than minimal, patternF677Oct 23, 2024

  Based on observations, record review and interview, the facility failed to provide assistance with activities of daily living (ADLs) to ensure the highest practicable quality of life for three (#3, #12 and #9) of four residents out of 20 sample residents. Specifically, the facility failed to ensure Resident #3, #12 and #9 received timely person-centered assistance with meal set up and/or eating. Findings include: I. Facility policy and procedure The Activity of Daily Living policy, reviewed September 2023, was received from the director of nursing (DON) on 10/23/24 at 11:30 a.m. The policy read in pertinent part, It is the policy of this facility that residents are given the appropriate treatment and services to maintain or improve his/her abilities. […]

• No harm, potential for more than minimal, patternF659Feb 16, 2023

  Based on interviews and record review, the facility failed to provide services by qualified persons for two (#21 and #9) out of two residents reviewed out of 23 sample residents. Specifically, the facility failed to ensure for Resident #21 and Resident #9: -Staff who were licensed practical nurses (LPN) did not perform duties outside of their scope of practice including performing intravenous/peripherally inserted central catheter (IV/PICC) line flushes and procedures without qualifications or certification; and, -LPN's did not chart under the registered nurse (RN) designated orders on the medication and treatment administration record (MAR/TAR) and in the progress notes for a procedure that was to be completed by an RN. Findings include: I. […]