Boulder Post Acute
BOULDER POST ACUTE in BOULDER, CO — inspection on February 4, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
F-F600 failure to protect Resident #1 from sexual abuse.
A 12/26/24 nursing note documented Resident #1 was lying down in the (other) resident bed.
The resident tried to get Resident #1 out of her bed and Resident #1 bit her on her left forearm.
Residents were separated. Resident #1 was placed on 15 min checks.
-No person centered dementia interventions were provided to Resident #1.
C.
Observations
On 2/3/25 at 10:30 a.m. observations on the first floor unit were conducted. Resident #1 was not in her room.
The resident's room did not have any personal pictures, items or signs to help the resident identify her room.
At 10:35 a.m. Resident #1 was located by certified nurse aide (CNA) #2.
Resident was asleep in another resident's room.
The room belonged to two gentlemen who were not in the room. Resident #1 was woken up and taken to her room by CNA #2.
III.
Staff interviews
Licensed practical nurse (LPN) #1 was interviewed on 2/3/25 at 10:25 a.m. LPN #1 said she was an agency nurse and did not know much about Resident #1.
She said she could look up the care plan in her medical record.
She said she did not know what Resident #1 looked like or where she was at the moment.
She said she would ask the CNAs, because they knew residents well.
CNA #2 was interviewed on 2/3/25 at 10:30 a.m.
She said Resident #1 was not in the common area and not in her room.
She said the resident probably fell asleep in someone else's room (see observations above).
CNA #2 was interviewed a second time on 2/3/25 at 11:05 a.m.
She said Resident #1 liked to walk and she occasionally entered rooms of other residents where she would fall asleep.
She said Resident #1 was not aggressive and easily redirectable.
She said the staff checked on her every 15 minutes, however she was very quick and could be anywhere at any time.
She said she was aware of one altercation that Resident #1 had with other residents that occurred on 1/4/25.
LPN #2 was interviewed on 2/3/25 at 4:30 pm. LPN #2 said she was the unit manager for the unit where Resident #1 currently resided.
She said Resident #1 wandered around the unit and occasionally entered other resident's rooms.
She said the staff checked on the resident every 15 minutes to ensure that she was not in someone else's room.
She said some rooms had a stop sign at the entrance to prevent wandering residents from wandering.
065052
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 065052 B.
Wing 02/04/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Boulder Post Acute 2121 Mesa Dr Boulder, CO 80304