Kiowa Hills Rehabilitation And Nursing, Llc
KIOWA HILLS REHABILITATION AND NURSING, LLC in COLORADO SPRINGS, CO — inspection on January 16, 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.
Inspection Findings
According to the January 2025 computerized physician orders (CPO), diagnoses included fracture of the neck of the right femur, dementia,
impairments with a brief interview for mental status (BIMS) score of eight out of 15. Resident #38 required supervision or touching assistance with personal hygiene and partial assistance with transfers.
She was independent with mobility in a wheelchair.
The assessment documented Resident #38 had clear speech and was always able to make herself understood.
She was occasionally incontinent of urine and required partial assistance with getting on and off the toilet.
B.
Observations and interview
On 1/12/25 at 5:30 p.m. Resident #38 was lying in bed.
The call light button was on the floor under the head of the bed, out of the resident's sight and reach.
On 1/13/25 at 9:50 a.m. Resident #38 was lying in bed.
The call light was on her pillow above her head, out of her sight.
A continuous observation was conducted on 1/13/25, beginning at 2:09 p.m. and ending at 4:09 p.m.
The following was observed:
At 2:09 p.m. Resident #38 was lying in bed.
The call light button was under the pillow above her head, out of sight and reach.
At 2:35 p.m. an unknown certified nurse aide (CNA) stopped and looked into Resident #38's room, then continued to walk down the hall.
The unidentified CNA did not enter the resident's room to ensure the resident's call light was within her reach.
At 2:50 p.m. an unknown CNA delivered ice water to Resident #38's roommate but did not check the call light placement for Resident #38.
The call light button was still under the pillow above the resident's head.
At 3:42 p.m. the call light button remained under the pillow above her head.
At 4:09 p.m. the call light button remained under Resident #38's pillow above her head.
On 1/13/25 at 4:32 p.m. registered nurse (RN) #1 observed Resident #38's call light placement. RN #1 said call lights should be placed beside the residents where they could reach them. RN #1 said the cord had a clip so it could be clipped to the resident's shirt. RN #1 moved Resident #38's call light from under the pillow to the top of her comforter.
On 1/14/25 at 8:54 a.m. Resident #38 was lying in bed.
The call light cord was clipped to the top corner of the sheet above Resident #38's head.
The call button was on the floor under the head of the bed, out of sight and reach.
065175
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 065175 B.
Wing 01/16/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Kiowa Hills Rehabilitation and Nursing, LLC 924 W Kiowa St Colorado Springs, CO 80905
F-F680 for failure to meet the qualifications of an activity professional.
potential for actual harm
065175
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 065175 B.
Wing 01/16/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Kiowa Hills Rehabilitation and Nursing, LLC 924 W Kiowa St Colorado Springs, CO 80905