Lodge At Red Rocks: Accident Harm Violations - CO
Federal inspectors found that four of five certified nursing aides reviewed lacked mandatory training when they started caring for residents. The facility couldn't produce documentation showing the workers had received education on topics ranging from how to manage behavioral health issues to basic infection prevention.
CNA #7, hired in mid-August, was missing the most training. The facility had no records showing the aide received instruction on effective communication, resident rights, dementia management, quality improvement, infection control, or behavioral health management upon hire.
Three other aides hired on the same day in June were also missing critical education. CNA #6 lacked dementia training, behavioral health training, and quality improvement instruction. CNA #5 was missing quality improvement, resident rights, and infection control training. CNA #8 had no behavioral health management training on file.
The gaps persisted for months. Inspectors visited in early November, meaning some aides had worked without proper training for five months.
When asked about the missing documentation on November 3, facility staff couldn't locate training records for any of the four workers in multiple critical areas.
The staff development coordinator, interviewed the next morning, said she had only worked at the facility since late June. She told inspectors she provided education during monthly staff meetings and by placing an education binder at the nurses' station with tests to ensure staff understood the material.
The coordinator described her approach as providing education "as education opportunities arose" rather than following a systematic training program for new hires.
She acknowledged that staff education was important "to ensure staff were aware of what they were required to do and how to complete their job duties."
The facility had organized a skills fair at the end of June where different departments educated staff on various topics. But this single event couldn't account for the months of missing mandatory training for newly hired aides.
The nursing home administrator, interviewed shortly after the staff development coordinator, revealed he had only been working at the facility for a month. He told inspectors he had been informed there were gaps in staff education requirements.
The administrator said he would be working with human resources to ensure staff files were up to date, including mandatory education records. He acknowledged the facility had recently set up an online training platform to improve tracking of education.
Currently, he said, education was provided at staff meetings and at time of hire. But the inspection findings showed this system was failing to ensure new workers received required training.
The training gaps covered areas essential to resident safety and dignity. Dementia training teaches aides how to communicate with and care for residents with cognitive impairment, who make up a significant portion of nursing home populations.
Behavioral health management training prepares staff to handle agitation, confusion, and other challenging behaviors without resorting to inappropriate interventions.
Infection control training is fundamental to preventing the spread of disease in congregate care settings, particularly important given nursing homes' vulnerability to outbreaks.
Resident rights training ensures staff understand patients' legal protections and dignity requirements under federal law.
Quality assurance and performance improvement training helps staff identify and address care problems before they harm residents.
The facility's training program was supposed to be based on both the facility assessment and the resident population it serves. Federal regulations require nursing homes to develop comprehensive training programs that address the specific needs of their residents.
Instead, The Lodge at Red Rocks was operating with a patchwork approach. Staff meetings and education binders couldn't substitute for systematic training that ensured every new employee understood their responsibilities before beginning patient care.
The coordinator's statement that she provided education "as education opportunities arose" suggested a reactive rather than proactive approach to staff development.
The timing was particularly concerning. The facility hired multiple aides on the same day in June, suggesting either rapid expansion or significant turnover. Either scenario would make proper training even more critical to maintain care quality.
CNA #7, hired more than two months after the June group, was missing even more training categories. This pattern suggested the facility's training deficiencies were ongoing rather than isolated to a single hiring period.
The administrator's acknowledgment that he had been "informed there were gaps in staff education requirements" indicated the problems were known within the facility's leadership.
His statement about working with human resources to update staff files raised questions about whether the training had actually occurred but wasn't documented, or whether the training simply hadn't happened.
The recent implementation of an online training platform suggested the facility recognized its tracking systems were inadequate. But this technological solution came months after the problematic hires had already begun working with residents.
Federal inspectors classified the violation as causing minimal harm or potential for actual harm. However, the absence of basic training for direct care staff creates ongoing risk for residents who depend on these workers for daily assistance with personal care, medication management, and safety supervision.
The inspection occurred in response to a complaint, though the report doesn't specify what prompted the federal review.
The Lodge at Red Rocks serves residents who require skilled nursing care and rehabilitation services. These vulnerable patients rely on properly trained staff to maintain their health, safety, and dignity during what is often the most fragile period of their lives.
Four nursing aides working without complete training represents a systemic failure in the facility's most basic responsibility to prepare its workforce. The gaps spanned months and affected the majority of aides reviewed, suggesting problems that extended far beyond individual oversights.
The facility's leadership acknowledged the deficiencies and promised improvements. But for residents who received care from inadequately trained staff during those months, the damage to their trust and potentially their wellbeing had already occurred.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Lodge At Red Rocks from 2025-11-04 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
THE LODGE AT RED ROCKS in MORRISON, CO was cited for violations during a health inspection on November 4, 2025.
Federal inspectors found that four of five certified nursing aides reviewed lacked mandatory training when they started caring for residents.
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.