Wellsprings Care Center

In the surveyor’s words

From the most serious findings on record at Wellsprings Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 11, 2025

  Based on observations and interviews, the facility failed to ensure food was stored, prepared, and served under sanitary conditions in the main kitchen.Specifically, the facility failed to ensure:-Perishable foods were discarded after the date of expiration; and, -Perishable foods were labeled and dated.Findings include:I. Professional reference According to the Colorado Retail Food Establishment Rules and Regulations (effective 3/16/24) retrieved 9/16/25A date marking system that meets the criteria using a method approved by the Department for refrigerated, ready-to-eat, potentially hazardous food (time/temperature control for safety food) that is frequently re-wrapped, such as lunch meat or a roast. […]

• No harm, potential for more than minimal, widespreadF921Dec 5, 2024

  Based on observations and interviews, the facility failed to provide a safe, functional, sanitary and comfortable environment for residents, staff and the public. Specifically, the facility failed to: -Ensure the resident's second floor smoking patio was free from debris and the fire blanket was visible; -Ensure the outdoor refuse area was free from debris and items were properly disposed of; and, -Ensure a resident's room was free of long standing stains on the floor. I. Facility policy and procedure The Homelike Environment policy, revised February 2021, was provided by the quality mentor (QM) on 12/4/24 at 12:30 p.m. […]

• No harm, potential for more than minimal, widespreadF812Feb 14, 2024

  Based on observations, record review and interviews, the facility failed to ensure food was prepared, distributed and served under sanitary conditions in the kitchen. Specifically, the facility failed to: -Ensure staff wore hair restraints to prevent hair from contacting food; -Ensure the freezer was within appropriate operating range to maintain frozen foods solid; -Ensure dry goods were stored in sealed containers to prevent rodents; -Ensure staff practiced appropriate hand hygiene and glove use when necessary during food preparation activities; and, -Ensure food in the nourishment refrigerator was dated. Findings include: I. Ensure staff wore hair restraints A. […]

• No harm, potential for more than minimal, widespreadF814Feb 14, 2024

  Based on observations, record review and staff interviews, the facility failed to ensure garbage and refuse was properly disposed of and the dumpster lid was closed to prevent harborage to pests and insects. Specifically, the facility failed to: -Ensure all dumpster lids were closed and not overflowing with garbage; and, -Ensure garbage was cleaned up around and under dumpsters. Findings include: I. Facility policy and procedure The Pest Control policy and procedure, last revised May 2008, was provided by the nursing home administrator (NHA) on 2/14/19 at 4:05 p.m. It revealed in pertinent part, The facility shall maintain an effective pest control program. Garbage and trash are not permitted to accumulate and are removed from the facility daily. […]

• No harm, potential for more than minimal, widespreadF880Feb 14, 2024

  Based on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases and infection for two out of four units in the facility. Specifically, the facility failed to: -Ensure high touch areas were cleaned appropriately by the housekeeping staff; -Ensure proper proper disinfectant times were utilized by staff; -Ensure housekeeping staff performed hand hygiene while cleaning resident rooms; -Ensure each resident was provided with hand hygiene prior to meals; -Ensure hand sanitizer dispensers were operational; and, -Ensure resident laundry was covered while being transported in the hallways. Findings include: I. Housekeeping failures A. […]