Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0689
D

Failure to Address Environmental Hazards and Secure Medications

Colorado Springs, Colorado Survey Completed on 05-15-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain an environment free from accident hazards and did not provide adequate supervision to prevent accidents for two of five residents reviewed for accident hazards. In one instance, a resident with a history of falls and multiple medical conditions, including spinal stenosis and chronic pain, reported that the grab bar in his bathroom was loose and that an additional grab bar recommended by the occupational therapist (OT) had not been installed. Despite a work order being submitted and marked as completed, the grab bar remained unrepaired and the additional bar was not installed. The resident expressed fear of using the bathroom due to the loose grab bar and stated that the lack of proper grab bars contributed to a fall incident. Staff interviews confirmed that the maintenance department did not routinely check grab bars and that there was a lack of communication and follow-up regarding the work order. In another case, a resident with severe cognitive impairment and total dependence on staff for activities of daily living was found to have a bottle of Dakin's solution, a topical antiseptic, left unsecured on his bedside table. The solution was used for wound care, and nursing staff stated it was left in the room to avoid contamination. However, facility policy required all medications and treatments to be stored securely and not left in resident rooms. The unsecured Dakin's solution was observed during a room check, and staff confirmed it should not have been left accessible to the resident. Both deficiencies were identified through observations, record reviews, and staff and resident interviews. The facility's failure to repair and install necessary safety equipment and to properly secure medications and treatments directly contradicted its own policies and procedures, as well as recommendations from clinical staff. These lapses resulted in an environment that was not free from accident hazards and did not provide adequate supervision to prevent accidents for the residents involved.

An unhandled error has occurred. Reload 🗙