Yampa Valley Healthcare Center

In the surveyor’s words

From the most serious findings on record at Yampa Valley Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600Apr 21, 2022

  Based on observations, record review and interviews, the facility failed to protect seven of seven residents (#19, #25, #10 and four residents who asked to remain anonymous) out of 29 sample residents, from resident-to-resident abuse that contributed to the residents experiencing emotional and psychological harm. This deficiency was cited previously during a recertification survey on 3/25/21. Although the facility corrected the deficiency, based on the findings below, the facility has not maintained compliance with this regulatory requirement. Specifically, the facility failed to protect the residents from repeated instances of verbal and mental abuse by Resident #19. […]

• Actual harm, isolatedF689May 7, 2026

  Based on record review and interviews, the facility failed to ensure residents were kept free from accidents or hazards for one (#3) of two residents out of six sample residents.Resident #3, was admitted on [DATE] with diagnoses of cerebral vascular disease (CVA), and diabetes. Resident #3 was dependent on staff assistance for transfers using a Hoyer lift (mechanical lift). On 10/28/25, the staff were transferring Resident #3 from her bed to the shower chair using the Hoyer lift. The Hoyer lift sling came unhooked from the Hoyer lift during the transfer, which resulted in Resident #3 falling to the floor. The resident hit her head when she fell and was transferred to the hospital for evaluation. […]

• Actual harm, isolatedF692Nov 25, 2024

  Based on observations, record review and interviews, the facility failed to ensure two (#26 and #5) of six residents out of 16 sample residents received the care and services necessary to meet their nutrition needs to maintain their highest level of physical well-being. Resident #26 was admitted to the facility for long term care on 1/4/23 with diagnoses of dementia, hypotension (low blood pressure), hypokalemia (low potassium), hypothyroidism (low thyroid function) and depression. Upon admission on 1/4/23, Resident #26 weighed 152 pounds (lbs) and she reported she liked to eat eggs, coffee and sweets. Resident #26 had gradual weight gain until 4/12/24 when she weighed 190 lbs. At this time, the resident started gradually losing weight. On 9/4/24 the resident weighed 182 lbs. […]

• Actual harm, isolatedF600Aug 7, 2024

  Based on observations, record review and interviews, the facility failed to ensure residents were kept free from abuse for three (#1, #2 and #3) of six residents reviewed for abuse out of six sample residents. Resident #1, who had a diagnosis of Alzheimer's disease and a tendency to wander, had a plan of care which documented the resident had impaired safety awareness and wandered aimlessly. The interventions were to offer Resident #1 pleasant diversions, structured activities, food, conversation, television and card games. On 2/28/24 Resident #1 wandered into Resident #2's room. Resident #2 told Resident #1 he was in the wrong room and told him to leave. Resident #1 refused to leave the room which caused Resident #2 to push Resident #1 to the floor. […]

• Actual harm, isolatedF692Feb 9, 2024

  Based on observations, record review and interviews, the facility failed to ensure one (#11) of two residents reviewed received the care and services necessary to meet their nutritional needs and maintain their highest physical well-being level out of 25 sample residents. Resident #11 was at nutritional risk with diagnoses of gastroesophageal reflux disease, muscle weakness and dementia. The registered dietitian (RD) implemented measures for the resident's nutrition risk and weight. Observations during the survey revealed the resident was not provided finger foods or fortified foods at meals, a brightly colored plate and alternatives offered when Resident #11's intake was poor. The facility failed to implement nutritional recommendations at mealtimes. […]