Pikes Peak Post Acute
PIKES PEAK POST ACUTE in COLORADO SPRINGS, CO — inspection on November 20, 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
another resident's room, she would provide redirection.
She said she did not know where written interventions were documented for each resident.
She said she had worked at the facility for two years and felt she knew each resident well enough to know what interventions worked.
She said all allegations or incidents of abuse were reported to the abuse coordinator.
CNA #1 said prior to one-to-one supervision, Resident #4 wandered freely throughout the unit, going in and out of other residents' rooms.
She said that if a room door was open, Resident #4 would go inside.
She said some days, Resident #4 was able to be redirected and other times she could not be redirected at all.
She said the one-to-one supervision began after the incident on 10/31/25 with Resident #5 and continued for at least two weeks before she was discharged to another facility.
She said she believed the lack of staffing directly contributed to the incident between Residents #4 and #5.
CNA #1 said when she came on shift on 10/31/25, she was informed Resident #4 had entered Resident #5's room and hit her.
She said Resid
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pikes Peak Post Acute
2719 N Union Blvd Colorado Springs, CO 80909
SUMMARY STATEMENT OF DEFICIENCIES
Resident #3 in her room and closing the door as an intervention for her wandering.
The AD was interviewed on 11/20/25 at 4:16 p.m.
The AD said she did a four hour dementia training when people were hired, annually, and then as needed.
She said she also did on-the-spot training with staff on the secured unit.
She said for Resident #3, there was a busy box for her but it would disappear.
She said Resident #3's daughter would bring in snacks and there was a stash of her favorite snacks for staff to offer her.
She said regular staff members were aware of Resident #3's interventions.
Facility ID: