The Estates at Greeley LLC

In the surveyor’s words

From the most serious findings on record at The Estates at Greeley LLC, in the surveyor’s own words.

• Actual harm, isolatedF760Jun 25, 2024

  Based on observation, interview, and document review the facility failed to accurately transcribe an order for an anti-convulsant (anti-seizure medication) upon admission for 1 of 3 (R1) residents reviewed for medication administration in accordance with physician instructions. This resulted in actual harm for R1 when he had seizures and required treatment in the hospital. The facility had taken action to prevent this type of medication error from occurring again, therefore is being cited at past noncompliance. Findings include: R1's facesheet dated 6/25/24, indicated R1 was admitted on [DATE] from an acute care hospital with diagnoses including generalized idiopathic epilepsy and epileptic syndromes not intractable without status epilepticus (a seizure disorder). […]

• No harm, potential for more than minimal, widespreadF880Aug 7, 2024

  Based on observation, interview and record review the facility failed to ensure transmission-based precautions (TBP) were utilized for 1 of 1 residents (R98) who required contact precautions for clostridium difficile (C. diff, a highly contagious infection). Furthermore, the facility failed to ensure enhanced barrier precautions (EBP) and appropriate hand hygiene was used for 1 of 1 residents (R20) observed during personal cares. Findings include: R98's admission Minimum Data Set (MDS) report dated 8/2/24, indicated intact cognition and a diagnoses of enterocolitis due to c-diff, sepis, and urinary tract infection (UTI). R98's physician's orders lacked indication R98 required contact precautions. […]

• No harm, potential for more than minimal, patternF689Jul 12, 2023

  Based on observation, interview, and document review the facility failed to follow to ensure the care plan was followed to prevent and/or reduce the risk of burns from hot liquid for 4 of 4 residents (R2, R3, R4, R5) who were observed who required coffee lids and/or assistance from staff for eating. Findings include: During observation and interview on 7/11/23 at 1:11 p.m., Food Service Manager (FSM)-A stated he was not sure the last time the liquid coffee dispenser had been maintainanced by the manufacturer or representative. FSM-A stated it was not the facility's practice to check coffee temperatures so there was no temperature logs. He explained a high end temperature for coffee would be 160-165 degrees. […]

• No harm, potential for more than minimal, isolatedF688Jul 2, 2026

  Based on observation, interview, and document review the facility failed to ensure physician-ordered passive range of motion (ROM) exercises were completed for 1 of 2 residents (R6) reviewed for range of motion.Findings include:R6's quarterly Minimum Data Set (MDS), dated [DATE], indicated R6 had moderate cognitive impairment. Diagnoses included cerebral infarction with hemiplegia and hemiparesis affecting the left non-dominant side following a cerebral infarction (blocked blood vessels that deprived part of the brain of oxygen and nutrients). The MDS indicated R6 was dependent on staff for mobility. […]

• No harm, potential for more than minimal, isolatedF740Jul 2, 2026

  Based on observation, interview, and document review, the facility failed to identify and appropriately monitor target behaviors for 1 of 1 residents (R22) reviewed for mood and behavior. Findings include:R22's admission Minimum Data Set (MDS) dated [DATE], identified intact cognition, moderately severe depression, no exhibited behaviors, and received antidepressant medications. R22's diagnosis included major depressive disorder and spinal stenosis (narrowing of spaces in spine putting pressure on spinal cord and nerves causing pain and weakness). R22's care plan dated 6/11/26, indicated R22 had potential for adverse drug reactions (ADRs) related to daily use of psychotropic medications. […]