Storybrook Care & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Storybrook Care & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Feb 11, 2021

  Based on observation, record review and interviews, the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection such as COVID-19 for 39 census residents. The facility failed to have an effective surveillance tracking system in place for residents and staff that were positive or had signs and symptoms of COVID-19. The facility failed to provide ongoing staff training and guidance related to infection control during a COVID-19 outbreak. Moreover, the facility failed to ensure proper personal protective equipment (PPE) practices and proper laundry practices were followed. […]

• Immediate jeopardy, widespreadF882Feb 11, 2021

  Based on record review and interviews, the facility failed to ensure a qualified infection preventionist was in place for providing guidance to the facility on the infection control policy and programs with the potential to affect 39 census residents at the time of the survey. The facility failed to ensure the infection preventionist had qualified training in infection control which impacted the execution of the infection control program for the facility. The facility failed to have an infection preventionist that attended the quality assessment and assurance committee to identify issues with the infection control program. […]

• Immediate jeopardy, isolatedF678Jun 25, 2026

  Based on record review and interviews, the facility failed to provide emergency basic life support and cardiopulmonary resuscitation (CPR) when needed for one (#59) of three residents reviewed for advance directives out of 30 sample residents.Resident #59 was admitted to the facility on [DATE] with a history of acute and chronic respiratory failure.On [DATE], the Resident #59 completed and signed a Colorado Medical Orders for Scope of Treatment (MOST) form. The MOST form documented Resident #59 desired to receive CPR with full treatment in the event it was required. On [DATE], a physician's order was entered into Resident #59's electronic medical record (EMR) that identified Resident #59 was a full code and should receive CPR. On [DATE] at 2:42 a.m. […]

• Actual harm, isolatedF689Oct 15, 2025

  Based on record review and interviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for two (#7 and #5) of seven residents reviewed for quality of care out of 10 sample residents.Specifically, the facility failed to:-Ensure Resident #7 and Resident #5 were assessed by a registered nurse (RN) following falls; and,-Ensure Resident #7, who was on anticoagulant medication (a class of medications that prevent or slow down blood clotting and can increase the risk of bleeding), received consistent and increased monitoring following a fall on 7/25/25 where the resident hit her head. […]

• Actual harm, isolatedF686Sep 19, 2024

  Based on interviews, observations, and record review, the facility failed to ensure one (#5) of two residents reviewed for pressure injuries out of 19 sample residents received the necessary treatment and services to prevent the development of pressure injuries. Resident #5, who had a diagnosis of multiple sclerosis (an immune disease that disrupts nerve communication between the brain and the body) and generalized muscle weakness, was admitted to the facility on [DATE] for ongoing medical management and rehabilitation after a tibial and fibular fracture. Resident #5 was admitted to the facility with intact skin of the feet and heels. […]