Inspection Reports for
Denver Sunset Home

Based on acceptance of the credible allegation of substantial compliance and the Plan of Correction, the facility will be certified in compliance effective April 2, 2026.

The facility failed to notify a resident's representative of the risks and benefits of psychotropic medication prior to administration and did not develop a comprehensive, person-centered care plan for residents with contractures. These deficiencies were documented and plans of correction were submitted.

The facility was found to be in substantial compliance and will be certified in compliance effective April 1, 2025.

The facility was found deficient in providing timely Notice of Medicare Non-Coverage to a resident, failing to notify residents or their representatives in writing about bed hold policies and costs, inaccurately coding PASRR levels on resident assessments, and failing to create and implement comprehensive Baseline Care Plans for multiple residents.

The facility was found to be in substantial compliance and will be certified effective May 15, 2024. No specific deficiencies or severity levels are detailed in this document.

The facility was found deficient in issuing bed hold policies for residents during hospitalizations, medication administration standards related to insulin injections, and oxygen administration orders. The facility reported a census of 28 residents during the inspection.

The facility failed to provide written bed hold policy information to residents transferred to the hospital, improperly administered insulin by not leaving the needle under the skin for the full count, and lacked proper oxygen administration parameters for a resident receiving oxygen therapy.

Investigation involved complaints #116250-C and #118853-C and a self-reported incident #116767-I; facility found in substantial compliance.

The facility was found in substantial compliance at the time of the investigation.

Incident #112946-I was not substantiated.

The facility was found to be in substantial compliance with CMS and CDC recommended practices to prepare for COVID-19. Incident #112946-I was not substantiated.

No health deficiencies were found during the inspection.

The facility was found to be in compliance based on acceptance of a credible allegation of compliance and plan of correction, effective January 20, 2023.

The facility failed to issue the Center for Medicare and Medicaid Skilled Nursing Facility Advanced Beneficiary Notice (ABN) form 10055 for 2 of 3 residents discharged from skilled services in the last 6 months. The Administrator confirmed the forms were not available during the survey.

The facility failed to issue the CMS form Skilled Nursing Facility Advanced Beneficiary Notice (ABN) 10055 for 2 of 3 residents reviewed who were discharged from skilled services in the last 6 months. The facility was unable to provide the forms upon request.

All deficiencies were corrected and the facility was found to be in substantial compliance effective September 15, 2022.

Complaint #102745-C was substantiated. Facility reported incident #102756-I was substantiated.

The facility failed to provide appropriate supervision, training, safety, and follow facility policy for use of a standing lift for 2 of 3 residents sampled, resulting in a resident fall and fracture. The complaints and incident were substantiated.

The facility failed to provide adequate supervision and follow facility policy for the use of standing lifts, resulting in a resident fall with a spiral fracture and another resident being improperly transferred. Staff failed to ensure sling loops were properly secured and did not always use two staff as required. The facility lacked proper training documentation and lift audits prior to the incident.

Complaint #89796 was investigated during the recertification survey and was not substantiated.

The facility was found deficient in multiple areas including resident rights, accuracy of assessments, quality of care, food safety, infection control, and immunization policies. Specific issues included failure to ensure residents' dignity, incomplete shaving of male residents, inaccurate vaccination records, improper food handling, and catheter care deficiencies.

Facility Reported Incident #91921 was substantiated.

The facility failed to complete post-fall assessments for 3 of 3 sampled residents (#3, #4, and #5) following unwitnessed falls, contrary to their policy requiring neurological checks and follow-up assessments within 72 hours.

The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.