Deficiencies (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
Routine
Deficiencies: 4
Date: Jul 16, 2024
Visit Reason
The inspection was conducted to assess compliance with professional standards of care related to medication administration, pressure ulcer prevention and care, accident prevention, and infection control at Life Care Center of Greeley.
Findings
The facility was found deficient in multiple areas including failure to consistently assess and document blood pressure prior to medication administration, failure to prevent development and timely treatment of a Stage 3 pressure ulcer, failure to prevent a resident fall from a mechanical lift resulting in injury, and failure to follow proper infection control procedures during medication administration and wound care.
Deficiencies (4)
Failed to assess and document Resident #44's blood pressure consistently prior to administering blood pressure medications.
Failed to provide care consistent with professional standards to prevent pressure ulcers, resulting in Resident #67 developing a Stage 3 pressure injury due to delayed interventions and wound care orders.
Failed to prevent Resident #6's fall from a mechanical lift during transfer, resulting in head trauma and fractured right clavicle.
Failed to follow proper infection control during medication administration and wound care, including improper hand hygiene by LPN #3 and failure to sanitize scissors used for Resident #21's wound care.
Report Facts
Residents reviewed for blood pressure management: 3
Residents reviewed for pressure-related skin conditions: 3
Residents reviewed for accidents: 9
Stage 3 pressure injury wound dimensions: 1.2
Stage 3 pressure injury wound dimensions: 0.5
Stage 3 pressure injury wound dimensions: 0.2
Slough tissue in wound: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #3 | Licensed Practical Nurse | Named in medication administration and infection control deficiencies |
| Director of Nursing | Director of Nursing | Interviewed regarding medication administration and pressure ulcer care |
| RN #1 | Registered Nurse | Provided wound care and interviewed regarding infection control and mechanical lift incident |
| RN #3 | Registered Nurse | Provided wound care and observed using unclean scissors |
| CNA #1 | Certified Nurse Aide | Involved in mechanical lift transfer incident |
| CNA #3 | Certified Nurse Aide | Involved in mechanical lift transfer incident |
| Nursing Home Administrator | Nursing Home Administrator | Provided facility policies and interviewed regarding incidents and corrective actions |
| Maintenance Supervisor | Maintenance Supervisor | Interviewed regarding mechanical lift inspection and incident |
| Infection Preventionist | Infection Preventionist | Interviewed regarding infection control deficiencies |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 14, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding neglect of Resident #51, who was left unattended on the toilet commode for approximately 70 minutes on 1/12/23.
Complaint Details
The complaint investigation found that Resident #51 was left unattended on the toilet for approximately 70 minutes on 1/12/23. The facility suspended two CNAs involved, conducted audits, and provided staff education. The neglect allegation was not substantiated as the investigation failed to prove intent of neglect.
Findings
The facility failed to ensure Resident #51 was not left unattended on the toilet for 70 minutes, constituting neglect. The facility conducted an investigation, suspended involved staff, audited other residents, and implemented corrective actions including staff education and new care plans. The neglect allegation was not substantiated as intent was not proven.
Deficiencies (1)
Facility failed to ensure Resident #51 was not left unattended on the toilet commode for 70 minutes on 1/12/23.
Report Facts
Residents affected: 5
Duration unattended: 70
Dates of staff education: Staff education and training began on 1/12/23 and was completed on 1/15/23.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #1 | CNA | Involved in miscommunication leading to Resident #51 being left unattended. |
| Certified Nurse Aide #4 | CNA | Left Resident #51 unattended on the toilet due to miscommunication. |
| Social Services Director | SSD | Spoke with Resident #51 after the incident and stated resident was not in distress. |
| Nursing Home Administrator | NHA | Provided facility policy and stated neglect allegations were not substantiated. |
| Director of Nursing | DON | Stated it was not appropriate for Resident #51 to be left unattended and described corrective actions. |
| Physical Therapist | PT | Interviewed regarding Resident #51's status and risk of falls. |
| Director of Rehabilitation | DOR | Interviewed regarding Resident #51's transfer and toileting abilities. |
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Oct 21, 2021
Visit Reason
The inspection was conducted due to complaints regarding multiple unwitnessed falls and inadequate fall prevention interventions for residents at Life Care Center of Greeley.
Complaint Details
The complaint investigation focused on multiple unwitnessed falls involving Resident #27 and other residents, with concerns about inadequate supervision, failure to implement fall prevention interventions, and delayed medical follow-up. The investigation confirmed actual harm with several falls resulting in injuries and fractures.
Findings
The investigation found that Resident #27 experienced multiple falls with injuries, including fractures, and the facility failed to implement effective fall prevention interventions and timely therapy evaluations. Resident #42 also had multiple falls with insufficient staff education on frequent checks. Resident #39 had a history of falls and was at high risk, with documented falls during the survey period. Overall, the facility did not consistently follow care plans or document interventions adequately to prevent falls.
Deficiencies (5)
Failure to update care plans with effective interventions after resident falls, including lack of frequent checks and toileting plans for Resident #27.
Delayed therapy evaluation after falls and failure to follow up with orthopedic specialist timely for Resident #27.
Inadequate staff education and documentation regarding frequency of checks for high fall risk Resident #42.
Failure to implement appropriate fall prevention interventions for Resident #42 who was on psychotropic medications and had severe cognitive impairment.
Resident #39 had multiple falls despite documented fall risk and interventions; some falls occurred without call light in reach or proper footwear.
Report Facts
Fall risk scores: 20
Fall risk scores: 18
Fall risk scores: 22
Fall risk scores: 24
Fall risk scores: 22
Fall risk scores: 14
Fall risk scores: 22
Fall risk scores: 30
Fall risk scores: 20
Fall risk scores: 22
Fall risk scores: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #4 | Registered Nurse | Documented fall investigations and hospital transfer for Resident #27 |
| LPN #1 | Licensed Practical Nurse | Documented fall investigation and health status notes for Resident #27 |
| DON | Director of Nursing | Documented plan of care notes and fall interventions for Resident #27 |
| CNA #1 | Certified Nurse Aide | Interviewed regarding Resident #27's falls and care |
| RN #1 | Registered Nurse | Interviewed regarding Resident #27's falls and care |
| RN #2 | Registered Nurse | Interviewed regarding Resident #27's falls and care |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding Resident #42's fall prevention interventions |
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