All citations for Aspen Health and Wellness

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Aspen Health and Wellness

Last standard health inspection on record

June 26, 2025

Showing 1 to 25 of 34 citations

Immediate jeopardy to resident health or safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level K.
Fire safety citation K-0222, Egress Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
Harm to a resident
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level G.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 3, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 29, 2024).
Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 29, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (December 20, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Include a process for Emergency Preparedness collaboration.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Pattern (more than a few residents). CMS level E.
Health citation F-0941, Administration Deficiencies. Inspection of March 12, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 12, 2024).
No harm, with potential for more than minimal harm
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Pattern (more than a few residents). CMS level E.
Health citation F-0942, Resident Rights Deficiencies. Inspection of March 12, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 12, 2024).
No harm, with potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pattern (more than a few residents). CMS level E.
Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2022).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2022).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Have restrictions on the use of highly flammable decorations.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (March 11, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.