Inspection Reports for
Continuing Care at Wind Crest
3420 MILL VISTA RD, HIGHLANDS RANCH, CO, 80129-
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
37% better than Colorado average
Colorado average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Deficiencies: 1
Date: Aug 15, 2024
Visit Reason
The inspection was conducted to evaluate compliance with medication storage and labeling standards, specifically ensuring drugs and biologicals are labeled and stored according to professional principles and facility policy.
Findings
The facility failed to ensure that medications in resident rooms were labeled with the date they were opened, specifically insulin pens and inhalers in two of five locked cabinets. The Director of Nursing provided staff education on proper medication storage and dating during the survey.
Deficiencies (1)
F 0761: The facility failed to ensure drugs and biologicals were labeled and stored properly according to professional standards in two of five locked cabinets in resident rooms. Medications were not labeled with the date they were opened.
Report Facts
Residents affected: 2
Staff education signatures: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Provided facility policy, staff education, and interviews regarding medication storage and labeling. | |
| Licensed Practical Nurse #1 | Observed with medication storage cabinet in Resident #4's room; acknowledged inhalers should be labeled. | |
| Licensed Practical Nurse #2 | Observed with medication storage cabinet in Resident #17's room; acknowledged insulin pens should be labeled. | |
| Registered Nurse #2 | Interviewed about medication storage practices in residents' rooms. |
Inspection Report
Routine
Deficiencies: 5
Date: Mar 16, 2023
Visit Reason
Routine inspection of Continuing Care at Wind Crest nursing facility to assess compliance with regulatory standards related to resident care, safety, and facility sanitation.
Findings
The facility failed to accommodate the needs of residents for dining services, failed to monitor vital signs prior to medication administration, failed to provide timely incontinence and eating assistance, failed to ensure safe resident transfers, and failed to maintain sanitary conditions in the kitchen and during meal service.
Deficiencies (5)
F 0558: The facility failed to accommodate Resident #22's dining needs by not adjusting table height and distance to enable self-feeding and not providing accessible dishes as recommended by therapy assessments.
F 0658: The facility failed to ensure Resident #36's vital signs were monitored prior to administration of blood pressure medication Metoprolol as required by professional standards.
F 0677: The facility failed to provide timely and consistent eating assistance to Resident #16 and timely incontinence care to Resident #34.
F 0689: The facility failed to ensure safe transfers for Resident #24, including use of gait belt during transfers and updating care plan after a fall during staff-assisted transfer.
F 0812: The facility failed to maintain sanitary conditions in the kitchen and during meal service, including improper hand hygiene by staff, soiled kitchen equipment, and improper food handling practices.
Report Facts
Sample residents reviewed: 25
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Physical therapy sessions: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Observed administering Metoprolol without checking vital signs for Resident #36. |
| RN #2 | Registered Nurse | Interviewed regarding feeding assistance and medication administration procedures. |
| CNA #3 | Certified Nurse Aide | Interviewed about feeding assistance and hand hygiene practices. |
| CNA #5 | Certified Nurse Aide | Interviewed about feeding assistance and gait belt use. |
| CNA #6 | Certified Nurse Aide | Interviewed about transfer assistance for Resident #24. |
| CNA #7 | Certified Nurse Aide | Interviewed about transfer assistance and gait belt use. |
| CNA #8 | Certified Nurse Aide | Observed assisting multiple residents with eating without proper hand hygiene. |
| DON | Director of Nursing | Interviewed about care plans, feeding assistance, medication administration, and transfer safety. |
| PT | Physical Therapist | Provided transfer training and staff education for Resident #24. |
| ADD | Assistant Director of Dining | Interviewed about kitchen sanitation and staff training. |
| SC | Sous Chef | Interviewed about kitchen sanitation and cleaning procedures. |
Inspection Report
Routine
Deficiencies: 4
Date: Dec 14, 2021
Visit Reason
The inspection was conducted to assess the facility's infection prevention and control program, including compliance with COVID-19 protective measures and proper hygiene practices.
Findings
The facility failed to implement an effective infection prevention and control program, including failure to encourage residents to wear protective masks, improper hand hygiene after glove use, improper containment of bedpan equipment, and improper handling of linen. Staff interviews confirmed knowledge gaps and plans for re-education.
Deficiencies (4)
F 0880: The facility failed to encourage and provide residents with protective masks in common areas to prevent COVID-19 spread on two units.
F 0880: Staff failed to perform proper hand hygiene after glove use during resident care.
F 0880: Bedpan equipment was improperly contained, with used bedpans left on the bathroom floor and not placed in bags after use.
F 0880: Linen was improperly handled, including placing linen against clothing, contrary to infection control protocols.
Report Facts
COVID-19 positive staff: 3
COVID-19 positive residents: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nurse Assistant | Named in findings related to failure to encourage mask use and improper hand hygiene. |
| HSK #1 | Housekeeper | Named in findings related to improper containment of bedpan equipment and linen handling. |
| CNA #2 | Certified Nurse Assistant | Named in observation of bedpan handling. |
| Nursing Home Administrator | NHA | Interviewed regarding COVID-19 outbreak and infection control practices. |
| Director of Nursing | DON | Interviewed regarding infection control policies and staff education. |
| Staff Development Coordinator | SDC | Interviewed regarding infection control education and training. |
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