Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Grace Pointe Cont Care Sr Campus, Skilled Nursing during CMS and state inspections, most recent first.
Improper Medication Storage and Labeling: Surveyors found expired Vitamin B12 in a med storage room, an open Lantus insulin vial without an open date in a med cart, an expired bottle of resident vitamins, and Lumigan eye drops with two different open dates on the box and bottle. An LPN confirmed the insulin had been used after opening without documenting the date, and the DON said the duplicate dates were not appropriate.
An LPN and the DON were observed performing wound care with multiple infection control failures, including not establishing a clean field, touching contaminated surfaces and supplies, failing to perform hand hygiene between glove changes, using ungloved hands when assisting with resident care, and not disinfecting scissors or the bedside table appropriately. Two residents receiving wound treatment were involved, and used and unopened supplies were mixed in a wound bin, with staff confirming several of the observed practices were not appropriate.
A resident with severe cognitive and physical impairments experienced a tibia fracture and a fall due to inconsistent and improper transfer methods by staff, including the use of incorrect lift equipment and lack of clear communication regarding transfer status. Staff were not uniformly trained on proper Hoyer lift use or sling sizing, and documentation failed to reflect the resident's needs in a timely manner, leading to preventable injuries.
Improper Medication Storage and Labeling
Penalty
Summary
The facility failed to ensure proper storage of medications in one medication storage room and two medication carts. In the first-floor medication storage room, surveyors found two bottles of Vitamin B12 100 mcg with an expiration date of July 2025. The assistant director of nursing said staff were expected to check expiration dates when pulling floor stock and again before administering medications, and she was unsure why the expired Vitamin B12 remained in the storage closet. In the first-floor front hallway medication cart, surveyors found an open, resident-labeled box containing a 10 mL multi-dose vial of Lantus insulin with no open date written on either the vial or the box, along with an open bottle of One Daily Women's Vitamins that had a resident's name on it and an expiration date of September 2024. The LPN confirmed she had opened the insulin vial and forgot to write the date, and she confirmed the resident had received Lantus after the vial was opened despite the missing open date. In the second-floor medication cart, surveyors found an open box of Lumigan 0.01% eye drops for a resident with two different open dates written on the box and bottle. The LPN confirmed the two separate open dates and said she was unsure why different dates were written. The DON stated it was not appropriate for two separate open dates to be written on resident medications and said she was not aware of the expired Vitamin B12 or the undated insulin.
Infection Control Breakdowns During Wound Care
Penalty
Summary
The facility failed to maintain an infection control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of disease and infection. During observed wound care for one resident with a right second toe wound, an LPN placed wound care supplies on the resident’s bedside table without first clearing the resident’s personal items, disinfecting the surface, or placing a clean barrier on the table. The LPN also touched the resident’s bed with a gloved hand, removed the old bandage without changing gloves or performing hand hygiene, and continued wound care after touching the trash can, repositioning a towel, and handling supplies without changing gloves or cleaning hands. The same wound care observation showed additional breaks in infection control. The LPN removed and discarded her gown and gloves, handed keys to the DON, and then resumed care without performing hand hygiene before donning new gloves and continuing treatment. The wound was cleansed, dried, treated with povidone-iodine, and dressed, but the sequence included repeated failures to clean hands between glove changes and after contact with potentially contaminated surfaces. The DON also handled a towel from the resident’s bathroom with ungloved hands and placed it on the resident’s bed, and later assisted with the resident’s socks after the dressing was completed. During wound care for a second resident with a left hand skin tear, an LPN brought a plastic wound supply bin into the room and placed supplies on a hand towel taken from the resident’s bathroom and placed on the bedside table. An opened roll of Kerlix fell and touched the resident’s forearm, then was placed back into the supply bin on top of sealed supplies. The LPN used gloved hands to open and apply wound care materials, failed to sanitize scissors before cutting dressings, and placed used and leftover supplies in the same bin with unopened items. The DON assisted by supporting the resident’s arm without gloves and later used a disposable washcloth to wipe the bedside table instead of an antiseptic wipe. Staff interviews confirmed expectations for hand hygiene, glove changes, clean fields, and disinfecting surfaces, and the DON acknowledged several of the observed practices were not appropriate.
Failure to Ensure Safe Transfers and Adequate Supervision Resulting in Resident Injury
Penalty
Summary
The facility failed to ensure that a resident with significant cognitive and physical impairments received adequate supervision and the correct use of assistive devices to prevent accidents. The resident, who was nonverbal, dependent for all activities of daily living, and had diagnoses including Alzheimer's disease and diabetes, required assistance from two staff members for transfers. Despite this, staff used inconsistent transfer methods, including sit-to-stand lifts and gait belts, and there was confusion among staff regarding the resident's correct transfer status. The care plan was not updated to reflect the resident's need for a Hoyer lift with two staff until after the resident sustained a tibia fracture. Multiple staff members were unaware of the proper transfer method, and the resident's transfer status was communicated inconsistently, often via whiteboards or report sheets, leading to further confusion. On one occasion, the resident was found with a large, painful bruise on her right lower leg, which was later diagnosed as a nondisplaced acute proximal tibia fracture. Staff interviews and documentation indicated that the injury likely occurred during a transfer, but no staff could identify the specific incident. The facility's investigation was unable to determine the exact cause of the injury, but it was noted that staff had been using various transfer methods and that the resident's room configuration may have contributed to the risk of injury. The investigation also revealed that the sit-to-stand lift was not indicated in the resident's care plan at the time of the injury. A subsequent incident involved the resident sliding out of a Hoyer lift sling during a transfer, resulting in a fall onto her back and shoulders. The investigation found that the sling used was too small and did not provide adequate support due to the resident's rigidity. Not all staff were educated on the proper use of the Hoyer lift or the correct sling size, and observations showed improper transfer technique, with the resident's body not properly supported and her legs and face in incorrect positions during the lift. Staff interviews confirmed inconsistent training and a lack of clear protocols for determining sling size and transfer methods, contributing to repeated failures in providing safe and adequate supervision during transfers.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Greeley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Center At Centerplace, Llc, The | 1.6 mi | ★★★★★ | 11 | 1 |
| Life Care Center Of Greeley | 1.7 mi | ★★★★★ | 0 | 0 |
| Westlake Health And Rehabilitation Center | 3.2 mi | ★★★★★ | 0 | 0 |
| Broadview Health And Rehabilitation Center | 3.9 mi | ★★★★★ | 0 | 0 |
| Fairacres Manor, Inc. | 4.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.