The Lodge at Red Rocks

In the surveyor’s words

From the most serious findings on record at The Lodge at Red Rocks, in the surveyor’s own words.

• Immediate jeopardy, patternF600Nov 4, 2025

  Based on observations, record review and interviews, the facility failed to protect three (#7, #3 and #5) of seven residents reviewed for abuse out of 10 sample residents. Resident #8 was admitted to the facility on [DATE] and was moderately cognitively impaired. He had a history of traumatic brain injury, dementia and diabetes. Resident #7 was admitted to the facility on [DATE] and had a history of dementia, was dependent on staff for all cares and was non-verbal. On 9/29/25 the facility was looking for Resident #8, who was identified as missing. The facility located Resident #8 in Resident #7's room by staff. […]

• Immediate jeopardy, isolatedF610Sep 21, 2023

  Based on record review and staff interviews, the facility failed to thoroughly investigate allegations that certified nurse aide (CNA) #1 physically and verbally abused two of four residents (#28 and #111) reviewed for abuse out of 66 sample residents. Staff interview revealed allegations of abuse involving CNA #1. Staff stated that during care, Resident #28, although severely cognitively impaired, pointed to CNA #1, stating the staff member had pulled her hair. When interviewed during the survey on 9/11/23, Resident #28, who was appropriately responsive to questions, said she was grabbed, shaken, and her hair pulled by a staff member, hurting the back of her head. […]

• Immediate jeopardy, isolatedF686Aug 26, 2021

  Based on observations, record review, and interviews, the facility failed to take measures to prevent and heal pressure injuries and to prevent the development of additional pressure injuries, affecting four (#9, #7, #19 and #6) of six residents reviewed out of 37 sample residents. Specifically: IMMEDIATE JEOPARDY IN PRESSURE INJURY MANAGEMENT Resident #9, whose age, clinical condition and assistance needs put her at risk for pressure injuries, was identified with moisture associated skin damage (MASD) on her coccyx on 7/8/21. An order was obtained 7/10/21 for barrier cream. […]

• Actual harm, isolatedF689Nov 4, 2025

  Based on interviews and record review, the facility failed to ensure residents had adequate supervision to prevent accidents for one (#2) of three residents reviewed for accident hazards out of 10 sample residents.Specifically the facility failed to provide adequate supervision to prevent an elopement for Resident #2 after he informed staff he was not staying at the facility on the day he was admitted to the facility. Resident #2, who had diagnoses of dementia, Alzheimer's disease and history of a traumatic brain injury, was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF600Jul 28, 2025

  Based on record review and interviews, the facility failed to ensure two (#5 and #12) of 14 residents were free from verbal abuse out of 27 sample residents.Resident #5 was admitted to the facility's secured unit with diagnoses of frontal temporal neurocognitive disorder (type of dementia that leads to changes in personality, behavior and language), Huntington's disease (progressive breakdown of the nerve cells in the brain), dementia with behavioral disturbances, tremors, and depression on 6/25/25. Despite the prison referral paperwork that identified Resident #5 had aggressive behaviors, the facility admitted the resident to the secured unit from prison. The resident had spent the majority of his life in prison or homeless. […]