Skylake Post Acute: Bite Wound Ignored, Unreported - CO
Inspectors cited the facility on June 14, 2024, for failing to prevent a resident-to-resident altercation and for the response that followed.
The Director of Nursing was interviewed the day before the citation, on June 13. She told inspectors she had heard about the allegation that Resident #1 had a bite mark on his arm, so she asked one of the facility's nurses to look at it. She did not examine the resident herself. She could not remember which nurse she had asked. She said that nurse reported back that there was no bite wound.
The investigation ended there. Or rather, it never started.
There was no documentation of any nursing assessment of Resident #1. No record of who looked at his arm, what they found, or when. The DON told inspectors she did not know why no documentation existed. She said she would try to find out which nurse had done the assessment and whether any paperwork had been created.
She never provided that information.
Inspectors noted the facility had no investigation at all into the bite wound allegation, and that the injury had not been reported to state authorities as an injury of unknown origin, which is a required report when the cause of a wound cannot be immediately established.
A bite wound on a nursing home resident's arm is not a minor administrative question. Bites between residents can signal breakdowns in supervision, in care planning for residents with behavioral needs, and in the basic safety of shared living spaces. The required reporting exists precisely because facilities cannot be trusted to investigate themselves when something goes wrong. When the report doesn't get filed, the state never gets the chance to ask the questions the facility isn't asking.
At Skylake, nobody asked them.
The DON's account of her own response raises its own questions. She heard about a possible bite wound on a resident and assigned someone else to assess it. She cannot name that person. The person she sent back a verbal finding that contradicted the allegation, and the DON accepted it without a follow-up exam, without a written record, and without any apparent concern that an undocumented wound on a vulnerable resident might warrant more than a secondhand reassurance.
What inspectors found when they arrived was the absence of a paper trail, the absence of an investigation, and a DON who was still, at the time of the interview, piecing together what had happened in her own facility.
Resident #1's arm, and what was or wasn't on it, remains a matter of unresolved record.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Skylake Post Acute from 2024-06-14 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
SKYLAKE POST ACUTE in THORNTON, CO was cited for violations during a health inspection on June 14, 2024.
Inspectors cited the facility on June 14, 2024, for failing to prevent a resident-to-resident altercation and for the response that followed.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.