The Healthcare Resort of Colorado Springs

In the surveyor’s words

From the most serious findings on record at The Healthcare Resort of Colorado Springs, in the surveyor’s own words.

• Immediate jeopardy, patternF600Nov 8, 2023

  Based on record review and interview, the facility failed to create an environment that protected six (#8, #4, #15, #87, #253, and #254) of eight out of 42 sample residents from mental and verbal abuse, contributing to residents experiencing, among other emotions, night terrors, anxiety, fear, and humiliation. In interviews with Residents #8, #15, and #253, the residents stated certified nurse aide (CNA) #1 slammed and dropped food trays on their tables and slammed their doors shut, mocked them, yelled at them, made them feel like an idiot, and feel anxious, frightened, and humiliated. […]

• No harm, potential for more than minimal, widespreadF812Jun 26, 2025

  Based on observations, record review and interviews, the facility failed to ensure food was prepared, distributed and served under sanitary conditions in the main kitchen. Specifically, the facility failed to: -Thaw meat in a safe manner; and, -Ensure jewelry was not worn during food preparation and meal service. Findings include: I. Failed to thaw meat in a safe manner A. Professional reference The Colorado Retail Food Establishment Regulations, effective 3/16/24, were retrieved on 6/30/25. It read in pertinent part, Time/temperature control for safety food shall be thawed completely submerged under running water with sufficient water velocity to agitate and float off loose particles in an overflow. (3-501.13) B. […]

• No harm, potential for more than minimal, patternF561Jun 26, 2025

  Based on record review and interviews, the facility failed to honor resident choices for residents residing on three of four units of the facility. Specifically, the facility failed to ensure residents could choose to eat in the dining room at dinner time and on the weekends. Findings include: I. Facility policy and procedure The Promoting/Maintaining Resident Self-Determinations policy and procedure, revised December 2024, was provided by the director of nursing (DON) on 6/26/25 at 1:29 p.m. […]

• No harm, potential for more than minimal, patternF761Jun 26, 2025

  Based on observations and interviews, the facility failed to ensure medications and biologicals were stored and labeled properly according to professional standards in two of four medications carts and one of one vaccine storage refrigerators. Specifically, the facility failed to: -Ensure vaccinations were not stored in dormitory style refrigerator; -Ensure expired vaccines were removed from refrigerators; -Ensure Tubersol (used to test for tuberculosis) vials were dated upon opening; -Ensure medication carts were clean from loose pills; and, -Ensure medications were stored according to route. Findings include: I. […]

• No harm, potential for more than minimal, patternF574Nov 8, 2023

  Based on observations and interviews, the facility failed to ensure residents received notices in a written description of their legal rights. Specifically, the facility failed to post a sign with how to file a complaint to the State Survey Agency. Findings include: I. Resident group interview The group interview was conducted on 11/2/23 at 12:57 p.m. with three residents (#1, #16 and #31) identified by assessment and the facility as interviewable. All three residents said they did not know they could file a complaint with the State Agency and they did not know where the facility posted information in regard to pertinent State Agencies' contact information. II. Observation and staff interview On 11/2/23 at 1:15 p.m., an observation was conducted throughout the facility. […]