Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Inspection Report
Life Safety
Deficiencies: 4
Jul 17, 2025
Visit Reason
The Office of the State Fire Marshal conducted inspections at Aspen Quality Care facility on multiple dates to assess compliance with fire protection and life safety codes, including alterations in buildings, electrical terminations, and fuel-burn appliances.
Findings
The inspections found several violations including missing electrical outlet covers, inadequate sprinkler protection in converted basement offices, missing fire sprinkler escutcheon in room 12 closet, and lack of carbon monoxide detection in the basement where fuel-burning appliances are present. Some violations were corrected or in progress with contractor involvement.
Deficiencies (4)
| Description |
|---|
| Open electrical outlet cover missing in old office basement |
| Several basement areas converted to offices lack full fire sprinkler protection |
| Fire sprinkler escutcheon missing in room 12 closet |
| No carbon monoxide detection installed in basement hot water tank area |
Report Facts
Provider Number: 2633
Provider Number: 2636
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara McMullen | Deputy State Fire Marshal | Signed multiple inspection reports |
| Erica Archuleta | Admin | Authorized Facility Representative signing page 1 inspection |
| Jasper Selby | Maintenance | Authorized Facility Representative signing page 3 inspection |
| Sheri Flavel | Manager | Authorized Facility Representative signing page 5 inspection |
Inspection Report
Complaint Investigation
Census: 17
Deficiencies: 1
May 16, 2025
Visit Reason
The inspection was conducted as a complaint investigation regarding resident rights allegations at Aspen Quality Care.
Findings
The facility limited a visitor per the resident's Power of Attorney (POA) request, which restricted visitation access. The facility was educated on resident rights related to visitation and the scope of POA, and all staff were immediately educated on these rights during the investigation.
Complaint Details
Resident rights allegation. The complaint investigation found that the facility did not meet Assisted Living Facility requirements related to resident visitation rights and POA scope.
Deficiencies (1)
| Description |
|---|
| Facility limited a resident's visitor per the resident's Power of Attorney (POA) request, restricting visitation access. |
Report Facts
Total residents: 17
Resident sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anne Sinclair | NCI Community Complaint Investigator | Investigator who conducted the complaint investigation |
| Stephanie Jenks | Community Field Manager | Signed the complaint determination letter |
Inspection Report
Follow-Up
Deficiencies: 4
Nov 21, 2024
Visit Reason
Follow-up inspection to verify correction of previously cited deficiencies at Aspen Quality Care Assisted Living Facility.
Findings
The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to respiratory protection, medical testing site waiver, infection control, medication services, and reporting were corrected.
Deficiencies (4)
| Description |
|---|
| Failed to develop and implement a respiratory protection program and ensure staff were fit tested for respirators. |
| Failed to obtain a medical testing site waiver license to perform on-site COVID-19 testing. |
| Failed to report a COVID-19 outbreak to the Complaint Resolution Unit for sampled residents. |
| Failed to provide medications as prescribed for one resident, resulting in medication errors. |
Report Facts
Residents sampled for on-site COVID-19 testing: 3
Residents reviewed during unannounced on-site visit: 8
Medication doses missed: 10
Correction timeframe: 45
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erica Anchondo | Administrator | Signed attestation for corrective actions and training plans. |
| Stephanie Jenks | Field Manager | Signed enforcement letter and correspondence. |
| Brian Zbylski | ALF Licensor | Conducted inspections and on-site verification. |
| Carla Rose | NCI Community Licensor | Conducted inspections. |
| Jennifer Lee | Assisted Living Facility Licensor | Conducted inspections. |
| Staff D | Lead Med Tech | Interviewed regarding medication administration errors. |
| Staff F | Administrator | Interviewed regarding respiratory protection and outbreak reporting. |
| Staff G | Manager | Interviewed regarding medication administration. |
| Staff H | Caregiver | Interviewed regarding respiratory protection. |
| Staff I | Caregiver | Interviewed regarding respiratory protection. |
Inspection Report
Complaint Investigation
Census: 19
Deficiencies: 1
Apr 29, 2024
Visit Reason
The Department completed a complaint investigation of the Assisted Living Facility related to allegations of a resident fall.
Findings
Staff assisted and assessed the resident related to the fall, notified appropriate parties, and sent the resident for hospital evaluation. The facility had a policy to address resident falls and staff were educated on fall protocol and notification. Residents interviewed had no concerns and were observed without unmet health needs.
Complaint Details
Complaint investigation included allegations of a resident fall. The complaint numbers were 128056, 128168, and 128492. The investigation concluded with failed provider practice identified and citation(s) written.
Deficiencies (1)
| Description |
|---|
| Facility does not meet Assisted Living Facility requirements related to fall policy and resident care. |
Report Facts
Total residents: 19
Resident sample size: 4
Closed records sample size: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Anne Sinclair | NCI Community Complaint Investigator | Investigator who conducted the complaint investigation |
| Stephanie Jenks | Field Manager | Signed letter regarding the compliance determination |
Inspection Report
Follow-Up
Deficiencies: 0
Jul 21, 2023
Visit Reason
The Department completed a follow-up inspection of the Assisted Living Facility on 07/21/2023 to verify correction of previously cited deficiencies.
Findings
The follow-up inspection found no deficiencies and the facility meets the Assisted Living Facility licensing requirements. The prior deficiencies related to tuberculosis testing, nursing services systems, monitoring residents' well-being, ongoing assessments, medication services, and negotiated service agreements were corrected.
Report Facts
Inspection dates: 4
Residents reviewed: 5
Staff screened for tuberculosis: 1
Residents with nurse delegation re-evaluation: 1
Residents with high blood pressure not evaluated: 1
Residents without signed negotiated service agreements: 2
Residents without care as agreed: 1
Residents with medication errors: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erica Anchondo | Administrator | Signed attestation for on-site full inspection and plan of correction |
| Ann Demakas | LTC Licensor | Department staff who inspected the Assisted Living Facility |
| Janet Quirk | Long Term Care Surveyor | Department staff who inspected the Assisted Living Facility |
| Veronica Jackson | Assisted Living Facility Licensor | Department staff who inspected the Assisted Living Facility |
| Jessica Salquist | Field Manager | Signed letter regarding follow-up inspection |
| Stephanie Jenks | Field Manager | Signed letter regarding plan of correction and consultation |
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