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Skylake Post Acute: Resident Fund Violations - CO
Resident 175 had $1,915.07 sitting in her personal account when federal inspectors arrived in September....
Latest reports, citations, and penalties from CMS data
Resident 175 had $1,915.07 sitting in her personal account when federal inspectors arrived in September....
The resident identified in the report as R2 was hospitalized for injuries sustained in the attack....
The administrator, identified in inspection records as V1, found the woman, referred to as R3, at 6:55 AM on November 20, 2025....
The resident was prescribed Warfarin, a powerful anticoagulant that prevents clots from forming or growing larger....
The resident was spitting some of it out....
When inspectors watched Licensed Practical Nurse D perform the treatment on November 24, the nurse ignored multiple steps in the doctor's detailed orders....
That admission triggered an immediate jeopardy finding, the most serious designation federal inspectors can assign, affecting many residents....
The incident occurred on June 3, according to a facility incident report reviewed by state inspectors....
Federal inspectors documented the lapse during a complaint inspection on November 24, 2025....
Federal inspectors cited the Lewiston nursing home following a complaint inspection completed November 21, 2025....
Federal regulations require that each nursing home resident receive treatment and services consistent with their plan of care....
The nurse practitioner told inspectors she had placed the order as routine rather than stat, meaning she expected it completed within 24 hours....
The November inspection revealed a chaotic scene in the facility's 300 hall....
The facility failed to maintain basic room conditions in all five resident rooms examined....
The medications the facility had missed included Seroquel, insulin on a sliding scale, antibiotics, and lidocaine patches....
That resident later "got much better," according to the administrator....
Resident #2 had a documented history of physical aggression when agitated by other residents....
The October incident exposed multiple safety failures at the facility....
The previous administrator resigned before June, leaving no documentation trail for the incident....
The order, dated October 9, 2024, was designed to prevent the resident from choking on feeding tube contents....