All citations for Pikes Peak Post Acute

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 Pikes Peak Post Acute

Last standard health inspection on record

January 30, 2025

Showing 1 to 25 of 25 citations

  1. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

    Pattern (more than a few residents). CMS level H.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of September 5, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

  2. 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 September 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 18, 2024).

  3. No harm, with potential for more than minimal harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  4. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  5. No harm, with potential for more than minimal harm

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  6. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  7. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2024).

  8. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2024).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  10. No harm, with potential for more than minimal harm

    Honor the resident's right to manage his or her financial affairs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0567, Resident Rights Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  11. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  12. No harm, with potential for more than minimal harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2023).

  13. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  14. 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 September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

  15. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  16. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0881, Infection Control Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  17. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  18. No harm, with potential for more than minimal harm

    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 D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 5, 2023).

  19. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  20. No harm, with potential for more than minimal harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  21. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  22. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2023).

  23. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

  24. No harm, with potential for more than minimal harm

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

  25. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of September 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2023).

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.