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Complaint Investigation

Brookside Inn

March 6, 2025 · Castle Rock, CO · 1297 S Perry St
Citations 2
CMS Rating 2/5
Beds 126
Provider ID 065361
Healthcare Facility
Brookside Inn
Castle Rock, CO  ·  View full profile →
Inspection Summary

BROOKSIDE INN in CASTLE ROCK, CO — inspection on March 6, 2025.

Found 2 citations. 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.

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Inspection Findings

FF600
Minimal harm or interventions included anticipating and meeting the resident's needs, putting the bed in the lowest position, Few affected

F-F600: the facility failed to ensure Resident #2 was kept free from physical abuse by a staff member.

C.

Record review

The delusion care plan, initiated on 12/30/24, documented Resident #2 was easily confused at baseline and would make delusional statements to staff.

The delusions caused different levels of distress. Resident #2 had intermittent periods of agitation where she tried to get out of bed or her wheelchair.

The cognition care plan, initiated on 7/19/24, documented Resident #2 was easily confused and experienced impaired decision making, memory loss and disorientation.

The interventions included adjusting according to the resident's current cognitive status, communicating with the family and caregivers regarding the resident's capabilities, engaging the resident in simple and structured activities, keeping the resident's routine consistent and trying to provide consistent caregivers as much as possible in order to decrease confusion.

The transfers care plan, initiated on 8/12/24, documented Resident #2 required the use of a mechanical lift for all transfers.

The interventions included providing frequent off-loading of the resident when up in the chair, removing the mechanical lift sling when the resident was lying in bed and ensuring two staff member assistance with transfers while using the mechanical lift.

065361

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 065361 B.

Wing 03/06/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Brookside Inn 1297 S Perry St Castle Rock, CO 80104

According to the March 2025 CPO, diagnoses included mood disorder and dementia.

The 1/2/25 MDS assessment revealed the resident had severe cognitive impairments with a BIMS score of three out of 15.

She required supervision/touching assistance with eating and toileting.

The assessment indicated Resident #1 did not exhibit any physical or verbal behavioral symptoms directed towards others.

065361

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 065361 B.

Wing 03/06/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Brookside Inn 1297 S Perry St Castle Rock, CO 80104

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CASTLE ROCK, CO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BROOKSIDE INN or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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