Inspection Reports for
The Courtyard at Colfax

All violations noted during previous related inspections have been corrected. The report lists multiple fire safety code requirements with no current violations except one penetration issue that was corrected during re-inspection.

The inspection found no deficiencies at the facility.

The inspection found multiple fire safety deficiencies, most of which were corrected on site or documented as corrected. The facility is working with a contractor to correct remaining door operation issues with a deadline of January 31, 2025. The overall approval status is Approved.

The original complaint investigation, conducted from 01/16/2024 through 03/01/2024, involved allegations related to failure to monitor and maintain bedrails and medical devices, contributing to a resident's death. Multiple deficiencies were cited related to policies, staff training, and resident supervision. The complaint was substantiated with citations written.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies were corrected. The facility meets the Assisted Living Facility licensing requirements.

This report is based on a complaint investigation completed on March 1, 2024, which found violations related to inadequate policies for monitoring residents using medical devices, including bedrails. The investigation substantiated the complaint as it resulted in a civil fine and cited deficiencies.

The facility failed to develop and implement policies defining staff monitoring for residents using medical devices with known safety risks. This failure contributed to one resident's death due to entrapment between the mattress and bedrail and placed all residents using bedrails at increased risk.

The follow-up inspection found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected as listed in the report.