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F0584
E

Failure to Maintain Clean, Homelike Environment and Timely Repairs

Colorado Springs, Colorado Survey Completed on 12-11-2025

Penalty

No penalty information released
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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

Surveyors observed that the facility failed to maintain a comfortable and homelike environment for residents across three of four units. Multiple resident rooms were found with broken towel racks, missing towels, and in some cases, only one towel rack for two occupants. A broken window seal in one room allowed ants to enter during rain, and a trash bag was left on the floor outside a bathroom. Additionally, one resident room was noted to be dirty, with a hazy and muted tile floor. In the main shower room, a light fixture was found dangling from the ceiling with exposed wires and cracked drywall, leaving the internal electrical box exposed. Interviews with residents and staff confirmed these deficiencies. A resident reported that the broken window seal allowed ants into the room and that towels were only provided upon request, with no towel rack available for some time. Certified nurse aides stated that all nursing staff were responsible for room cleanliness and towel provision, but towels were only given to residents who asked. The maintenance director was unaware of the extent of broken or missing towel racks and indicated that work orders for repairs were to be initiated by nursing staff. The assistant director of nursing confirmed that every resident's room should have a towel rack and that nursing staff were responsible for providing towels.

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