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Complaint Investigation

Bear Creek Senior Living

January 30, 2025 · Colorado Springs, CO · 1685 S 21st St
Citations 3
CMS Rating 4/5
Beds 45
Provider ID 065373
Healthcare Facility
Bear Creek Senior Living
Colorado Springs, CO  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BEAR CREEK SENIOR LIVING in COLORADO SPRINGS, CO — inspection on January 30, 2025.

Found 3 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.

Inspection Findings

FF0623
Provide timely notification to the resident, and if applicable to the resident representative and

facility-initiated discharge letter from the facility when Resident #1 was discharged .

She said

discharge, however she did not know how to appeal.

The DON and the ADON were interviewed together on 1/30/25 at 3:10 p.m.

The ADON said the facility did not send a written facility-initiated discharge notice to Resident #1 and her representative, or to the ombudsman office.

The DON said the IDT made the decision of not accepting Resident #1 back due to the resident refusing to take her medications which had led to her mental status changes and hospitalizations.

065373 01/30/2025

Bear Creek Senior Living 1685 S 21st St Colorado Springs, CO 80904

receive the discharge notice/letter and were not aware of the appeal rights.

The FV said the

The DON said the IDT team made the decision of not accepting the resident back due to the resident refusing to take her medications, which led to her mental status changes and hospitalizations.

Review of Resident #1's EMR revealed the following progress notes:

The 1/10/25 nurses note revealed Resident #1 refused to take her medications because her stomach was upset and she was afraid she would throw up.

The note documented that due to the management's previous instruction, the nurse proceeded to call the resident's representative, who came to the facility and the resident took her medications.

On 1/14/25 the ADON documented that on Friday 1/10/25 at 3:45 p.m., Resident #1's representative requested the resident be sent to a hospital, because she said the resident was lethargic.

The ADON further documented Resident #1 appeared to be at her baseline per nursing assessment.

065373

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 065373 B.

Wing 01/30/2025

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

Bear Creek Senior Living 1685 S 21st St Colorado Springs, CO 80904

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 COLORADO SPRINGS, 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 BEAR CREEK SENIOR LIVING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.