Falcon Heights Rehabilitation And Nursing Llc

F-F555: the facility failed to inform and obtain consent from the residents and/or their responsible party when the corporation changed primary medical groups.

The DON said it took over a month for the new medical group to enter the facility and see residents. She said

the new medical group would not return calls to nursing overnight or on the weekends. She said she directed

the nurses to contact the retired medical director (RMD) to receive care instructions if they had not received

a call back within 15 minutes. She said she was frustrated and the nurses on the floor were frustrated the new physician group would not return calls after hours. The DON said it had the potential for negative outcomes for residents.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 4 of 5 065168 Department of Health & Human Services Printed: 09/17/2025 Form Approved OMB Centers for Medicare & Medicaid Services No. 0938-0391

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. Building 065168 B. Wing 07/31/2024

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

Falcon Heights Rehabilitation and Nursing LLC 1795 Monterey Rd Colorado Springs, CO 80910

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.

(X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0684 The RMD was interviewed on 7/31/24 at 11:30 a.m. The RMD said the corporation of the facility decided to change primary medical groups in the facility, along with taking over all of his residents without the resident's Level of Harm - Minimal harm or or their responsible parties' consent. potential for actual harm

The RMD said the nurse had reached out to him on 6/4/24 for treatment orders for Resident #9 since the Residents Affected - Few on-call physicians did not call her back after leaving multiple messages. He said since Resident #9 was not his patient, he did not feel comfortable treating her over the phone so he sent orders to send her out to the emergency room to get checked out. He said the professional standard of care would be to see a resident within 24 to 48 hours after hospitalization . He said it was his understanding that Resident #9 was not seen for more than 10 days after her initial change of condition on 6/4/24.

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 5 of 5 065168