Facility profile · CCN 065415
Pikes Peak Post Acute
47 federal citations on record , and 4 federal enforcement actions totaling $89,318.
Record summary
Federal record · Q1 202647
Total citations
41
Last 3 years
3
Actual harm+
4
Federal penalties
$89,318
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
47 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 20, 2025 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint |
| Nov 20, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jan 30, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jan 30, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Jan 30, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Jan 30, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 30, 2025 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jan 30, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jan 30, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Jan 30, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard |
| Jan 30, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Jan 30, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Sep 17, 2024 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Sep 17, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Sep 17, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Mar 14, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint |
| Nov 29, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | G | Complaint |
| Nov 29, 2023 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint |
| Nov 29, 2023 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint |
| Sep 5, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | H | Complaint |
| Sep 5, 2023 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Sep 5, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 5, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Sep 5, 2023 | F838 | 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. | F | Standard |
| Sep 5, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 5, 2023 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Sep 5, 2023 | F803 | 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. | F | Standard |
| Sep 5, 2023 | F761 | 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. | E | Standard |
| Sep 5, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Sep 5, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard |
| Sep 5, 2023 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard |
| Sep 5, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Sep 5, 2023 | F688 | 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. | D | Standard |
| Sep 5, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Sep 5, 2023 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Sep 5, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Sep 5, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Sep 5, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Sep 5, 2023 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Standard |
| Sep 5, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Sep 5, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Jun 10, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 10, 2022 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jun 10, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Jun 10, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 10, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jun 10, 2022 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $89,318 and 2 payment-denial actions spanning 91 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 17, 2024 | Fine | $39,917 | — |
| Sep 17, 2024 | Payment Denial | — | Oct 16, 2024 · 28 days |
| Sep 5, 2023 | Fine | $49,401 | — |
| Sep 5, 2023 | Payment Denial | — | Sep 28, 2023 · 63 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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