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
F0600
J

Failure to Prevent and Address Resident-to-Resident Physical Abuse

Windsor, Colorado Survey Completed on 07-15-2025

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 protect cognitively impaired residents from repeated incidents of physical abuse and attempted abuse by another resident with a history of severe cognitive loss and psychiatric diagnoses. Multiple altercations occurred involving this resident, who exhibited escalating physically aggressive behaviors toward several other residents, all of whom also had significant cognitive impairments. These incidents included attempts to harm a roommate by threatening with oxygen tubing and placing a bedside table on the roommate's chest, as well as attempts to harm other residents by using objects such as a walker and by direct physical aggression, resulting in at least one resident falling to the floor. Despite these events, the facility did not conduct timely or comprehensive interdisciplinary team (IDT) reviews or clinical assessments to address the changes in the resident's behavior. There was no evidence that the facility updated care plans or implemented effective interventions to prevent recurrence after the initial incidents. The facility also failed to separate residents known to have conflicts, and did not update behavior monitoring orders or care plans to reflect new aggressive behaviors. Staff interviews revealed a lack of communication and training regarding resident-specific behaviors and interventions, particularly among contract and agency staff, leading to further risk of harm. Additional incidents of resident-to-resident altercations occurred on other units, with no timely evidence of interventions to prevent repeat abuse. The facility's documentation and monitoring practices were inconsistent, and staff were not always aware of or following care plan interventions. The lack of prompt and effective action to address and prevent aggressive behaviors resulted in repeated exposure of vulnerable residents to potential and actual harm.

An unhandled error has occurred. Reload 🗙